Song, Mark
Song, Mark is an sole proprietor health care provider with primary practice located at 339 Hicks St Division Of Vascular Surgery, Brooklyn NY 11201-5509. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Song, Mark can be contacted via phone (718) 780-1051.Contact Information
Primary practice address
339 Hicks St Division Of Vascular Surgery
Brooklyn NY 11201-5509
Phone: (718) 780-1051
Fax: (718) 780-1309
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 210025 | New York |
Profile Details
| NPI number | 1346227246 |
|---|---|
| LBN Legal business name | Song, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 30th, 2005 |
| Last updated | Feb 4th, 2011 - 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 | 1346227246 | NPPES |
| New York | MEDICAID | 02094553 |
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