Individual
DR. MARK W POMERANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 CROSFIELD AVE, SUITE 407, WEST NYACK, NY 10994
(845) 353-5050
(845) 353-1285
Mailing address
2 CROSFIELD AVE, SUITE 407, WEST NYACK, NY 10994
(845) 353-5050
(845) 353-1285
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA06356900
NJ
207RI0011X
Interventional Cardiology Physician
168707
NY
207UN0901X
Nuclear Cardiology Physician
25MA06356900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01227389
—
NY
01
—
56456
AETNA
—
01
—
RS146
OXFORD
—
Enumeration date
10/28/2006
Last updated
01/08/2015
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