Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 211177 | NY |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 211177 | NY |
NPI | 1306849641 |
---|---|
Provider Name | Dr. Mark J Mohrmann |
First Address | New York, NY 10007-2504 |
Second Address | New York, NY 10007-2504 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2005 |
Last Update Date | 04/02/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I01151 | (02) | NY |
P00783624 | MEDICARE RAILROAD (01) | NY |