Individual
DR. MARK SIVAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5 EAST 98 ST, 7TH FLOOR, NEW YORK, NY 10029-6501
(212) 241-7076
(212) 860-4952
Mailing address
5 EAST 98 ST, BOX 1139, NEW YORK, NY 10029-6501
(212) 241-7076
(212) 860-4952
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
114630
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00806386
—
NY
01
—
298361
EMPIRE BC BS
NY
Enumeration date
02/01/2006
Last updated
05/04/2011
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