Pundt, Mark Richard

Pundt, Mark Richard is an individual health care provider with primary practice located at 100 High St , Buffalo NY 14203. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Pundt, Mark Richard can be contacted via phone (716) 691-8838.

Contact Information

Primary practice address
100 High St Buffalo NY 14203
Phone: (716) 691-8838
Fax: (716) 564-1134
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 188650 New York

Profile Details

NPI number 1982650578
LBN Legal business name Pundt, Mark Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Mar 18th, 2014 - about 10 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 1982650578 NPPES
New York Other 000524707003 BC/BS OF WNY
New York Other 930037721 BC/BS OF WNY
New York Other 00026642601 BC/BS OF WNY
New York MEDICAID 01341088 BC/BS OF WNY
New York Other 3910180 BC/BS OF WNY

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