Individual
MARK HELLERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 NICOLLS RD, STONY BROOK, NY 11794-3816
(631) 444-3278
Mailing address
177 FORT WASHINGTON AVE, NEW YORK, NY 10032-3733
(212) 305-5996
(212) 305-7237
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
314341
NY
207RC0000X
Cardiovascular Disease Physician
Primary
314341
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2018
Last updated
05/19/2026
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