Gventer, Mark
Gventer, Mark is an sole proprietor health care provider with primary practice located at 2965 Ocean Pkwy Ste 403, Brooklyn NY 11235-8014. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Gventer, Mark can be contacted via phone (718) 265-1140.Contact Information
Primary practice address
2965 Ocean Pkwy Ste 403
Brooklyn NY 11235-8014
Phone: (718) 265-1140
Fax: (718) 648-2211
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | N002605 | New York |
Profile Details
| NPI number | 1821093840 |
|---|---|
| LBN Legal business name | Gventer, Mark |
| Credentials | DPM, P.C. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 16th, 2005 |
| Last updated | Dec 13th, 2010 - about 16 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 | 1821093840 | NPPES |
| New York | MEDICAID | 00415018 | |
| New York | Other | 2210604 | |
| New York | Other | P618996 | |
| New York | Other | 0085809 | |
| New York | Other | 1343406-005 | |
| New York | Other | 4C7517 | |
| New York | Other | 63679 | |
| New York | Other | A400024901 |
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