MEDICARE: DR. MARK TSINKER 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
1	207R00000X	Internal Medicine Physician	180136	NY

Other Identifiers

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

General Provider Information

NPI Number	:	1467423012
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK TSINKER M.D.

Provider Business Mailing Address
First Line	:	7701 BAY PKWY
Second Line	:	APT 1G
City	:	BROOKLYN
State	:	NY
Zip	:	11214-1541
Country	:	US
Telephone Number	:	718-234-0009
Fax Number	:	718-234-5164

Provider Business Practice Location Address
First Line	:	7701 BAY PKWY
Second Line	:	APT 1G
City	:	BROOKLYN
State	:	NY
Zip	:	11214-1541
Country	:	US
Telephone Number	:	718-234-0009
Fax Number	:	718-234-5164

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

Provider Enumeration Date	:	01/31/2006
Last Update Date	:	06/28/2010

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