Lorber, Mark David

Lorber, Mark David is an individual health care provider with primary practice located at 6662 Grand Ave , Maspeth NY 11378-2531. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Lorber, Mark David can be contacted via phone (718) 779-9000.

Contact Information

Primary practice address
6662 Grand Ave Maspeth NY 11378-2531
Phone: (718) 779-9000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 047347 New York

Profile Details

NPI number 1417932088
LBN Legal business name Lorber, Mark David
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2005
Last updated Jul 13th, 2026 - about 3 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417932088 NPPES
New York MEDICAID 01912481

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