Ewalt, Mark David
Ewalt, Mark David is an individual health care provider with primary practice located at 1275 York Avenue Dept Of Pathology, Box #36, New York NY 10065. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Molecular Genetic Pathology. Allopathic & Osteopathic Physicians / Molecular Genetic Pathology is his primary health care specialty. Ewalt, Mark David can be contacted via phone (212) 639-8137.Contact Information
Primary practice address
1275 York Avenue Dept Of Pathology, Box #36
New York NY 10065
Phone: (212) 639-8137
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cytopathology | 207ZC0500X | DR.0058760 | Colorado |
| Allopathic & Osteopathic Physicians / Hematology | 207ZH0000X | A121762 | California |
| Allopathic & Osteopathic Physicians / Hematology | 207ZH0000X | DR.0058760 | Colorado |
| Allopathic & Osteopathic Physicians / Molecular Genetic Pathology | 207ZP0007X | DR.0058760 | Colorado |
Profile Details
| NPI number | 1497998512 |
|---|---|
| LBN Legal business name | Ewalt, Mark David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 20th, 2009 |
| Last updated | Aug 25th, 2021 - about 5 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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