Provider Demographics
NPI:1558430199
Name:PASMANTIER, MARK W (MD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:W
Last Name:PASMANTIER
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Gender:M
Credentials:MD
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Mailing Address - Street 1:407 E 70TH ST
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-5302
Mailing Address - Country:US
Mailing Address - Phone:212-517-5900
Mailing Address - Fax:212-734-9238
Practice Address - Street 1:407 E 70TH ST
Practice Address - Street 2:3RD FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-5302
Practice Address - Country:US
Practice Address - Phone:212-517-5900
Practice Address - Fax:212-734-9238
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2008-06-13
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Provider Licenses
StateLicense IDTaxonomies
NY98988207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY582521Medicare PIN
NYB16928Medicare UPIN