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
Fax: (716) 204-4501
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437117264 NPPES
New York MEDICAID 01223069

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