Oldendorf, Mark
Oldendorf, Mark is an individual health care provider with primary practice located at 407 Albany Shaker Rd Ste 100 , Loudonville NY 12211-1902. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Oldendorf, Mark can be contacted via phone (518) 435-1300.Contact Information
Primary practice address
407 Albany Shaker Rd Ste 100
Loudonville NY 12211-1902
Phone: (518) 435-1300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | 146168 | New York |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 146168 | New York |
Profile Details
| NPI number | 1427147800 |
|---|---|
| LBN Legal business name | Oldendorf, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Feb 7th, 2019 - about 5 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 | 1427147800 | NPPES |
| New York | MEDICAID | 00654260 |
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