Individual
MARK D EHRENPREIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11203 QUEENS BLVD STE 200, FOREST HILLS, NY 11375-5550
(718) 805-8534
Mailing address
12012 84TH AVE, KEW GARDENS, NY 11415-3105
(718) 805-8534
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
198300
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01562894
—
NY
Enumeration date
02/10/2006
Last updated
07/30/2010
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