Provider Demographics
NPI:1588147425
Name:MARK E. STATON CONSULTING INC
Entity type:Organization
Organization Name:MARK E. STATON CONSULTING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:E
Authorized Official - Last Name:STATON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-902-8252
Mailing Address - Street 1:309 LAFAYETTE AVE APT 23E
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-1246
Mailing Address - Country:US
Mailing Address - Phone:917-902-8252
Mailing Address - Fax:
Practice Address - Street 1:309 LAFAYETTE AVE APT 23E
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11238-1246
Practice Address - Country:US
Practice Address - Phone:917-902-8252
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-06
Last Update Date:2018-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty