Tuckfelt, Mark Alan
Tuckfelt, Mark Alan is an sole proprietor health care provider with primary practice located at 4 Harriman Dr , Goshen NY 10924-2410. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Tuckfelt, Mark Alan can be contacted via phone (845) 294-2177.Contact Information
Primary practice address
4 Harriman Dr
Goshen NY 10924-2410
Phone: (845) 294-2177
Fax: (845) 294-2105
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 114087 | New York |
Profile Details
NPI number | 1841297173 |
---|---|
LBN Legal business name | Tuckfelt, Mark Alan |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 1st, 2005 |
Last updated | Feb 25th, 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 | 1841297173 | NPPES |
New York | Other | 114087 | LICENSE |
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