Swerdloff, Mark

Swerdloff, Mark is an individual health care provider with primary practice located at Suny At Stony Brook School Of Dental Medicine Sullivan Hall Room 170, Stony Brook NY 11794-0001. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Swerdloff, Mark can be contacted via phone (631) 632-8971.

Contact Information

Primary practice address
Suny At Stony Brook School Of Dental Medicine Sullivan Hall Room 170 Stony Brook NY 11794-0001
Fax: (631) 632-7658
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DDS29590 New York

Profile Details

NPI number 1245360304
LBN Legal business name Swerdloff, Mark
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2007
Last updated Jul 8th, 2007 - about 18 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 1245360304 NPPES
New York MEDICAID 00680231

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