Individual
DR. MARK SU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
300 COMMUNITY DR, DEPARTMENT OF EMERGENCY MEDICINE, MANHASSET, NY 11030-3816
(516) 562-3090
Mailing address
300 COMMUNITY DR, DEPARTMENT OF EMERGENCY MEDICINE, MANHASSET, NY 11030-3816
(516) 562-3090
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
209848
NY
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
209848
NY
Other
Enumeration date
11/23/2005
Last updated
08/15/2013
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