Individual
MS. EVELYN MARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1 BROOKDALE PLZ, EMERGENCY DEPARTMENT, BROOKLYN, NY 11212-3139
(718) 240-5180
Mailing address
80 MARCUS DR, PROVIDER ENROLLMENT, MELVILLE, NY 11747-4230
(631) 391-7889
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
007989
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00287218
—
NY
Enumeration date
04/22/2007
Last updated
09/28/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us