Mark Steven Pollack, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

2860211 Issued in NY

Practice address

305 Sherman Ave
Apt E8
Peekskill, NY 10568-5662

Phone

(914) 739-5582

NPI assigned

May 10, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861606709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 SHERMAN AVE",
            "address_2": "APT E8",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105685662",
            "telephone_number": "914-739-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 SHERMAN AVE",
            "address_2": "APT E8",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105685662",
            "telephone_number": "914-739-5582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLACK",
        "first_name": "MARK",
        "middle_name": "STEVEN",
        "name_prefix": "Mr.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "2860211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Pincus, DPM
• Carol Pironi
• Robert John Pittman, LPN
• Abby Plotka
• Alicia Polanco-Santiago
• Hilda Kinga Portik-Gumbs, RDN
• Francesca Pou, CRPA-P
• Rachel Prager
• Premier Urological Care, P.C.
• Robert Anthony Prestiano Jr., MD

• Licensed Practical Nurse in Peekskill, NY
• Providers in Peekskill, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.