MEDICARE: MARK T DOLLAR, M.D., P.C.

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	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1164598595
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARK T DOLLAR, M.D., P.C.

Provider Business Mailing Address
First Line	:	80 UNIVERSITY PL
Second Line	:	SUITE 3-C
City	:	NEW YORK
State	:	NY
Zip	:	10003-4564
Country	:	US
Telephone Number	:	212-989-9380
Fax Number	:

Provider Business Practice Location Address
First Line	:	80 UNIVERSITY PL
Second Line	:	SUITE 3-C
City	:	NEW YORK
State	:	NY
Zip	:	10003-4564
Country	:	US
Telephone Number	:	212-989-9380
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MARK T DOLLAR
Credential	:	M.D.
Telephone Number	:	212-989-9380

Provider Enumeration Date	:	11/28/2006
Last Update Date	:	08/22/2020

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