Individual
DR. MARK SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
339 HICKS ST, DIVISION OF VASCULAR SURGERY, BROOKLYN, NY 11201-5509
(718) 780-1051
(718) 780-1309
Mailing address
339 HICKS ST, 2ND FL OTHMER BLDG, BROOKLYN, NY 11201-5509
(718) 780-1051
(718) 780-1309
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
210025
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02094553
—
NY
Enumeration date
12/30/2005
Last updated
04/30/2025
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