Individual
MARK C. STILLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 HEALTHY WAY, OCEANSIDE, NY 11572-1551
(516) 632-3900
Mailing address
PO BOX 409213, ATLANTA, GA 30384-9213
(800) 377-8721
(304) 523-2241
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
223749-1
NY
Other
Enumeration date
01/03/2006
Last updated
09/13/2007
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