Individual
DR. MARK ROBERT SCHUFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
200 VARICK ST, 9TH FLOOR, NEW YORK, NY 10014-4810
(212) 620-0340
Mailing address
17625 UNION TPKE, #432, FRESH MEADOWS, NY 11366-1515
(917) 885-4936
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
032421
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00282471
—
NY
Enumeration date
03/18/2008
Last updated
01/09/2013
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