Mark, Judith L
Mark, Judith L is an individual health care provider with primary practice located at 990 Stewart Ave Suite 400, Garden City NY 11530-4822. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mark, Judith L can be contacted via phone (516) 222-2022.Contact Information
Primary practice address
990 Stewart Ave Suite 400
Garden City NY 11530-4822
Phone: (516) 222-2022
Fax: (516) 222-8475
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 151204 | New York |
Profile Details
| NPI number | 1154422350 |
|---|---|
| LBN Legal business name | Mark, Judith L |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2006 |
| Last updated | Apr 21st, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154422350 | NPPES |
| New York | MEDICAID | 00733091 |
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