Smith, Mark
Smith, Mark is an sole proprietor health care provider with primary practice located at 4802 10Th Ave , Brooklyn NY 11219-2916. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Smith, Mark can be contacted via phone (718) 283-8773.Contact Information
Primary practice address
4802 10Th Ave
Brooklyn NY 11219-2916
Phone: (718) 283-8773
Fax: (718) 283-8796
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 145831 | New York |
Profile Details
| NPI number | 1093885485 |
|---|---|
| LBN Legal business name | Smith, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 9th, 2006 |
| Last updated | Mar 11th, 2009 - about 16 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 | 1093885485 | NPPES |
| New York | MEDICAID | 00755197 |
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