Individual
MARK PINALS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
519 E 72ND ST, SUITE #103, NEW YORK, NY 10021-4028
(212) 288-1575
(212) 288-7616
Mailing address
519 E 72ND ST, STE 103, NEW YORK, NY 10021-4028
(212) 288-1575
(212) 288-7616
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2069171
NY
2085R0202X
Diagnostic Radiology Physician
ME76180
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254364800
—
FL
01
—
300091132
RR MEDICARE
FL
01
—
P00943870
RR MEDICARE - UCC
FL
Enumeration date
08/31/2006
Last updated
04/10/2019
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