Individual
DR. MARK M PINKHASOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O, PHARM-D
Contact information
Practice address
116 BUSINESS PARK DRIVE, 1ST FLOOR, UTICA, NY 13502-6313
(315) 624-7000
(315) 793-1129
Mailing address
116 BUSINESS PARK DRIVE, 1ST FLOOR, UTICA, NY 13502-6313
(315) 624-7000
(315) 793-1129
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051502
NY
207R00000X
Internal Medicine Physician
276158
NY
207RG0100X
Gastroenterology Physician
Primary
276158
NY
207RI0008X
Hepatology Physician
25MB09512800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02981868
—
NY
01
—
J400595789
MEDICARE
NY
Enumeration date
04/29/2008
Last updated
06/25/2020
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