Mark Ludwig

NPI 1033501507 - Nurse Practitioner - 363LA2100X

NPI Details
NPI 1033501507
Gender Male
Enumeration Date 02/20/2015
Last Updated 02/20/2015
Entity Type Individual
Active Over 3 years ago
Practice Location
2519 AVENUE O
BROOKLYN NY, 11210-5230, US
Phone (718) 787-1900
Fax (718) 787-0897
Business Location
2912 BRIGHTON 12TH ST STE 1
BROOKLYN NY, 11235-4722, US
Phone (718) 975-4334
Fax (718) 975-4337
Toxanomy
Taxonomy Code 363LA2100X
License State New York
License Number F430871-1
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According to our database, Mark Ludwig NPI is 1033501507, taxonomy code is 363LA2100X and license number is F430871-1, license state is located at New York. Mark Ludwig physically located at 2519 Avenue O, Brooklyn NY, 11210-5230. NPI Number Mark Ludwig has the Individual type.

1033501507 NPI number is provided on an as is basis without warranty of any kind. 1033501507 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Ludwig are for informational purposes only.