Mark, Janet

Mark, Janet is an sole proprietor health care provider with primary practice located at 410 S Crouse Ave , Syracuse NY 13210-1799. She recently has only one registered license in Hospitals / General Acute Care Hospital, which is considered as her primary health care specialty. Mark, Janet can be contacted via phone (315) 470-8340.

Contact Information

Primary practice address
410 S Crouse Ave Syracuse NY 13210-1799
Fax: (315) 470-8309
Website:

Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X A150655-1 New York

Profile Details

NPI number 1912034554
LBN Legal business name Mark, Janet
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2007
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1912034554 NPPES
New York MEDICAID 01374854

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