Mark Gudesblatt is a Neurology in Islip, New York. Mark Gudesblatt practices all healthcare services and medical treatments related to Neurology. The NPI Number for Mark Gudesblatt is 1528030269. The last update date is 2016-09-13.
Mark Gudesblatt's current location address is 712 Main St, Islip, New York. You can contact this provider via phone number 6316663939 and fax number 6316663994. The mailing address for Mark Gudesblatt is 712 Main St, Islip, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Gudesblatt |
|---|---|
| Address | 712 Main St, Islip, New York |
| Phone Number | 6316663939 |
| Fax Number | 6316663994 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1528030269 |
|---|---|
| Provider Enumeration Date | 2006-02-06 |
| Last Updated Date | 2016-09-13 |
Provider Mailing Address Detail
| Address | 712 Main St |
|---|---|
| City | Islip |
| State | New York (NY) |
| Post Code | 117513620 |
| Phone Number | 6316663939 |
| Fax Number | 6316663994 |
Provider's Primary Taxonomy Detail
| Speciality | Neurology |
|---|---|
| Taxonomy | 2084N0400X |
| Licence No | 147227 |
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Definition: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1158790 | NY | -- |
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What is the Mark Gudesblatt's unique identification number?
The Mark Gudesblatt has been assigned the NPI (National Provider Identifier) Number 1528030269 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 Gudesblatt?
The Mark Gudesblatt is situated at 712 Main St, in the city of Islip, state of NY, with the zip code 117513620.
What is Mark Gudesblatt's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mark Gudesblatt is Neurology, and the taxonomy classification code that categorizes this area of expertise is 2084N0400X.
When was the Mark Gudesblatt's 1528030269 issued?
The Mark Gudesblatt's 1528030269 was issued on 2006-02-06.
As of what date were the details pertaining to Mark Gudesblatt last refreshed?
The information related to the Mark Gudesblatt, including its address, specialty, and other relevant details, was last updated on 2016-09-13.