Individual
MARK SHUMEYKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
40 MITCHELL AVE, BINGHAMTON, NY 13903
(607) 772-0639
Mailing address
40 MITCHELL AVE., BINGHAMTON, NY 13903-1678
(607) 772-0639
(607) 722-4610
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
173916-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01067298
—
NY
Enumeration date
08/09/2005
Last updated
11/08/2012
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