Provider Demographics
NPI:1467423012
Name:TSINKER, MARK (MD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:
Last Name:TSINKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7701 BAY PKWY
Mailing Address - Street 2:APT 1G
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-1541
Mailing Address - Country:US
Mailing Address - Phone:718-234-0009
Mailing Address - Fax:718-234-5164
Practice Address - Street 1:7701 BAY PKWY
Practice Address - Street 2:APT 1G
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-1541
Practice Address - Country:US
Practice Address - Phone:718-234-0009
Practice Address - Fax:718-234-5164
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-31
Last Update Date:2010-06-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY180136207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01351000Medicaid
NY73K531Medicare PIN
NYE30209Medicare UPIN