Individual
MARK NOGUEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
90 S BEDFORD RD, MOUNT KISCO, NY 10549-3412
(914) 241-1050
Mailing address
90 S BEDFORD RD, MOUNT KISCO, NY 10549-3412
(914) 241-1050
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
239621-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02753051
—
NY
01
—
P00413189
RAILROAD MEDICARE
NY
Enumeration date
05/22/2006
Last updated
06/03/2016
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