Physician Compare National (NPI:1922291939)

HEALTHCARE PROVIDER: MARK SONNENSCHINE D.O.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1922291939
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1850443870
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090722000110
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SONNENSCHINE
	Individual professional last name
Provider First Name	MARK
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
	Individual professional's medical school
Graduation Year	2003
	Individual professional's medical school graduation year
Primary Specialty	HEMATOLOGY/ONCOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	705 AVE U
	Group Practice or individual's line 1 address
City	BROOKLYN
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	112234133
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	330194
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MAIMONIDES MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	330196
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	NYC HEALTH + HOSPITALS/CONEY ISLAND
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	M