Roschinsky, Mark L

Roschinsky, Mark L is an sole proprietor health care provider with primary practice located at 322 Ruhle Rd S , Ballston Lake NY 12019-1030. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Roschinsky, Mark L can be contacted via phone (518) 899-2252.

Contact Information

Primary practice address
322 Ruhle Rd S Ballston Lake NY 12019-1030
Fax: (518) 899-5297
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 035-212 New York

Profile Details

NPI number 1992727440
LBN Legal business name Roschinsky, Mark L
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2006
Last updated Nov 5th, 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 1992727440 NPPES
New York MEDICAID 00676471

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