Individual
DR. MARK P GHASSIBI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 10TH AVE, NEW YORK, NY 10019-1147
(212) 523-4000
Mailing address
118 MAPLE AVE, CLOSTER, NJ 07624-3125
(201) 916-3023
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
311158
NY
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
311158
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
06/14/2017
Last updated
10/11/2023
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