| Mark Tobak Md Pc | |
|
1600 Harrison Ave Suite 105a Mamaroneck NY 10543-3145 | |
| (904) 698-3018 | |
| (914) 698-0685 |
| Full Name | Mark Tobak Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1600 Harrison Ave, Mamaroneck, New York |
| Authorized Official Name and Position | Mark Tobak (PRESIDENT) |
| Authorized Official Contact | 9146983018 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Tobak Md Pc 1600 Harrison Ave Suite 105a Mamaroneck NY 10543-3145 Ph: (904) 698-3018 | Mark Tobak Md Pc 1600 Harrison Ave Suite 105a Mamaroneck NY 10543-3145 Ph: (904) 698-3018 |
| NPI Number | 1295891588 |
|---|---|
| Provider Enumeration Date | 12/29/2006 |
| Last Update Date | 07/29/2011 |
| Medicare PECOS PAC ID | 7113979196 |
|---|---|
| Medicare Enrollment ID | O20050217000803 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295891588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Mark Tobak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063578425 PECOS PAC ID: 9133171127 Enrollment ID: I20050217000858 |
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