Provider Demographics
NPI:1043307259
Name:DONALD S. MARKS DDS, P.C.
Entity type:Organization
Organization Name:DONALD S. MARKS DDS, P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:S
Authorized Official - Last Name:MARKS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:212-725-6001
Mailing Address - Street 1:450 PARK AVENUE SOUTH
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-7320
Mailing Address - Country:US
Mailing Address - Phone:212-725-6001
Mailing Address - Fax:212-725-6090
Practice Address - Street 1:450 PARK AVENUE SOUTH
Practice Address - Street 2:SUITE 200
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-7320
Practice Address - Country:US
Practice Address - Phone:212-725-6001
Practice Address - Fax:212-725-6090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-07
Last Update Date:2015-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY035685122300000X
NY030515122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty