Individual
DR. MARK FLECKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.,P.C.
Contact information
Practice address
520 FRANKLIN AVE, SUITE L6, GARDEN CITY, NY 11530
(516) 739-5905
(516) 739-6876
Mailing address
520 FRANKLIN AVE, SUITE L6, GARDEN CITY, NY 11530-5801
(516) 739-5905
(516) 739-6876
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
200481
NY
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
200481
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02059149
—
NY
Enumeration date
07/11/2006
Last updated
07/10/2018
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