Birnbaum, Mark B
Birnbaum, Mark B is an individual health care provider with primary practice located at 1777 Ocean Pkwy , Brooklyn NY 11223-2060. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Birnbaum, Mark B can be contacted via phone (718) 998-9114.Contact Information
Primary practice address
1777 Ocean Pkwy
Brooklyn NY 11223-2060
Phone: (718) 998-9114
Fax: (718) 998-3727
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 032359 | New York |
Profile Details
| NPI number | 1043202179 |
|---|---|
| LBN Legal business name | Birnbaum, Mark B |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2005 |
| Last updated | Nov 29th, 2011 - about 15 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 | 1043202179 | NPPES |
| New York | MEDICAID | 00399468 |
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