Fleckner, Mark
Fleckner, Mark is an sole proprietor health care provider with primary practice located at 520 Franklin Ave Suite L6, Garden City NY 11530. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Fleckner, Mark can be contacted via phone (516) 739-5905.Contact Information
Primary practice address
520 Franklin Ave Suite L6
Garden City NY 11530
Phone: (516) 739-5905
Fax: (516) 739-6876
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 200481 | New York |
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | 200481 | New York |
Profile Details
| NPI number | 1225063274 |
|---|---|
| LBN Legal business name | Fleckner, Mark |
| Credentials | M.D.,P.C. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Jul 10th, 2018 - about 7 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 | 1225063274 | NPPES |
| New York | MEDICAID | 02059149 |
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