Organization
DOCTOR MARK PHYSICIAN P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK VAYNKHADLER M.D. (PRESIDENT)
(347) 541-6241
Entity
Organization
Contact information
Practice address
1502 E 14TH STREET, SUITE 2, BROOKLYN, NY 11230
(347) 541-6241
(718) 764-1229
Mailing address
1502 E 14TH ST STE 2, BROOKLYN, NY 11230-7148
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
245029
NY
207V00000X
Obstetrics & Gynecology Physician
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03031298
—
NY
05
—
03542454
—
NY
Enumeration date
01/03/2011
Last updated
09/06/2024
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