Smith, Mark
Smith, Mark is an individual health care provider with primary practice located at 10 Union Sq E Bimc Dept Of Plastic Surgery, New York NY 10003-3314. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Smith, Mark can be contacted via phone (212) 844-8784.Contact Information
Primary practice address
10 Union Sq E Bimc Dept Of Plastic Surgery
New York NY 10003-3314
Phone: (212) 844-8784
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 197217 | New York |
Profile Details
| NPI number | 1548244130 |
|---|---|
| LBN Legal business name | Smith, Mark |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 6th, 2005 |
| Last updated | Nov 7th, 2012 - about 13 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 | 1548244130 | NPPES |
| New York | MEDICAID | 01925882 |
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