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NPI Code Detail

MEDICARE: DR. MARK GLADSTEIN M.D.

MEDICARE: DR. MARK GLADSTEIN M.D.
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
1207L00000XAnesthesiology Physician205366NY
2207LP2900XPain Medicine (Anesthesiology) Physician205366NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184674061
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK GLADSTEIN M.D.
Provider Business Mailing Address
First Line : 2076 E 13TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-3304
Country : US
Telephone Number : 718-382-7900
Fax Number : 718-382-7901
Provider Business Practice Location Address
First Line : 2076 E 13TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-3304
Country : US
Telephone Number : 718-382-7900
Fax Number : 718-382-7901
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2006
Last Update Date : 01/20/2012

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Directions to “ DR. MARK GLADSTEIN M.D.” Practice Location

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