Individual
MARK FLUGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
176 N VILLAGE AVE, SUITE # 2A, ROCKVILLE CENTRE, NY 11570-3800
(516) 766-6400
(516) 766-6457
Mailing address
176 N VILLAGE AVE, SUITE # 2A, ROCKVILLE CENTRE, NY 11570-3800
(516) 766-6400
(516) 766-6457
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
141643
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00831829
—
NY
01
—
0092460
GHI ID #
NY
01
—
0098128
AETNA US HEALTHCARE #
NY
01
—
6531
VYTRA ID #
NY
01
—
AS677
OXFORD ID #
NY
Enumeration date
09/06/2005
Last updated
01/10/2019
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