Podlas, Mark R
Podlas, Mark R is an individual health care provider with primary practice located at 2157 Main St , Buffalo NY 14214-2648. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Podlas, Mark R can be contacted via phone (716) 204-4500.Contact Information
Primary practice address
2157 Main St
Buffalo NY 14214-2648
Phone: (716) 204-4500
Fax: (716) 204-4501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 175742 | New York |
Profile Details
| NPI number | 1437117264 |
|---|---|
| LBN Legal business name | Podlas, Mark R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2006 |
| Last updated | Nov 16th, 2007 - about 17 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 | 1437117264 | NPPES |
| New York | MEDICAID | 01223069 |
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