Individual
MARK ROBERT JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
180 LENOX RD, APARTMENT 3G, BROOKLYN, NY 11226-2486
(585) 953-9797
Mailing address
180 LENOX RD, APARTMENT 3G, BROOKLYN, NY 11226-2486
(585) 953-9797
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
276356
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/28/2012
Last updated
02/20/2018
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