Organization
MARK E. PRUZANSKY, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK E PRUZANSKY M.D. (PROVIDER)
(212) 249-8700
Entity
Organization
Contact information
Practice address
975 PARK AVE, SUITE 1B, NEW YORK, NY 10028-0323
(212) 249-8700
(212) 327-4405
Mailing address
975 PARK AVE, SUITE 1B, NEW YORK, NY 10028-0323
(212) 249-8700
(212) 327-4405
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A100028737
MEDICARE PTAN
NY
Enumeration date
07/02/2010
Last updated
09/21/2010
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