Mark Rivlin is a Specialist in Johnson City, New York. Mark Rivlin practices all healthcare services and medical treatments related to Specialist. The NPI Number for Mark Rivlin is 1063455152. The last update date is 2009-10-06.
Mark Rivlin's current location address is 156 Corliss Ave, Johnson City, New York. You can contact this provider via phone number 6077636735. The mailing address for Mark Rivlin is 156 Corliss Ave, Johnson City, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Rivlin |
|---|---|
| Address | 156 Corliss Ave, Johnson City, New York |
| Phone Number | 6077636735 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1063455152 |
|---|---|
| Provider Enumeration Date | 2006-06-14 |
| Last Updated Date | 2009-10-06 |
Provider Mailing Address Detail
| Address | 156 Corliss Ave |
|---|---|
| City | Johnson City |
| State | New York (NY) |
| Post Code | 137902060 |
| Phone Number | 6077636735 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 1669821 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the Mark Rivlin's unique identification number?
The Mark Rivlin has been assigned the NPI (National Provider Identifier) Number 1063455152 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Mark Rivlin?
The Mark Rivlin is situated at 156 Corliss Ave, in the city of Johnson City, state of NY, with the zip code 137902060.
What is Mark Rivlin's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mark Rivlin's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
On what date did the Mark Rivlin receive the assignment of its 1063455152 from the Centers for Medicare & Medicaid Services?
The Mark Rivlin was issued its 1063455152 by the Centers for Medicare & Medicaid Services on 2006-06-14.
When was the Mark Rivlin's information last updated?
The Mark Rivlin's information was last updated on 2009-10-06.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY