Provider Demographics
NPI:1326035205
Name:NACHAMIE, MARK (MD)
Entity type:Individual
Prefix:
First Name:MARK
Middle Name:
Last Name:NACHAMIE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:345 E 37TH ST
Mailing Address - Street 2:SUITE 308
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016
Mailing Address - Country:US
Mailing Address - Phone:212-599-7005
Mailing Address - Fax:212-599-2918
Practice Address - Street 1:345 E 37TH ST
Practice Address - Street 2:SUITE 308
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-3256
Practice Address - Country:US
Practice Address - Phone:212-599-7005
Practice Address - Fax:212-599-2918
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-05
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY149767207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY71D2520381Medicare PIN
NYB18908Medicare UPIN
NY71D251Medicare ID - Type Unspecified