Gersten, Mark Benjamin
Gersten, Mark Benjamin is an individual health care provider with primary practice located at 58 47 Francis Lewis Blvd Suite 204, Bayside NY 11364. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gersten, Mark Benjamin can be contacted via phone (718) 229-6688.Contact Information
Primary practice address
58 47 Francis Lewis Blvd Suite 204
Bayside NY 11364
Phone: (718) 229-6688
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 124702 | New York |
Profile Details
| NPI number | 1972589794 |
|---|---|
| LBN Legal business name | Gersten, Mark Benjamin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2005 |
| Last updated | Aug 31st, 2016 - about 9 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 | 1972589794 | NPPES |
| New York | MEDICAID | 00325484 |
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