Solomon, Mark David

Solomon, Mark David is an individual health care provider with primary practice located at 701 Route 25A Suite B1, Mount Sinai NY 11766-2050. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Solomon, Mark David can be contacted via phone (631) 331-4403.

Contact Information

Primary practice address
701 Route 25A Suite B1 Mount Sinai NY 11766-2050
Phone: (631) 331-4403
Fax: (631) 331-1932
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 188451 New York

Profile Details

NPI number 1336151158
LBN Legal business name Solomon, Mark David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated Oct 2nd, 2008 - 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 1336151158 NPPES
New York MEDICAID 01552189
New York Other 49H972
New York Other PRV0004550
New York Other 4611929
New York Other 0C4369
New York Other 0570430012
New York Other 110090140
New York Other 43342
New York Other P846294

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