MEDICARE: DR. MARK W PASMANTIER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0003X	Hematology & Oncology Physician	98988	NY

General Provider Information

NPI Number	:	1558430199
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK W PASMANTIER MD

Provider Business Mailing Address
First Line	:	407 E 70TH ST
Second Line	:	3RD FLOOR
City	:	NEW YORK
State	:	NY
Zip	:	10021-5302
Country	:	US
Telephone Number	:	212-517-5900
Fax Number	:	212-734-9238

Provider Business Practice Location Address
First Line	:	407 E 70TH ST
Second Line	:	3RD FLOOR
City	:	NEW YORK
State	:	NY
Zip	:	10021-5302
Country	:	US
Telephone Number	:	212-517-5900
Fax Number	:	212-734-9238

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2006
Last Update Date	:	06/13/2008

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