# MARK MANKOFF, MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124362967
- **Authorized official:** DR. MARK RICHARD MANKOFF M.D. (PRESIDENT)
- **Authorized official phone:** (212) 722-4983

## Contact information

- **Practice address:** 150 E 94TH ST, NEW YORK, NY 10128-2568
- **Practice address phone:** (212) 722-4983
- **Mailing address:** 150 E 94TH ST, NEW YORK, NY 10128-2568

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 092450 | NY | Yes |

## Other

- **Enumeration date:** 11/17/2012
- **Last updated:** 11/17/2012