Organization
MARK MANKOFF, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK RICHARD MANKOFF M.D. (PRESIDENT)
(212) 722-4983
Entity
Organization
Contact information
Practice address
150 E 94TH ST, NEW YORK, NY 10128-2568
(212) 722-4983
Mailing address
150 E 94TH ST, NEW YORK, NY 10128-2568
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
092450
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100924505
—
NY
Enumeration date
11/17/2012
Last updated
11/17/2012
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