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Contact Information

MARK LODESPOTO, MD
1 HEALTHY WAY
ATTN: RADIOLOGY
OCEANSIDE, NY11572-1551
 Phone: 516-632-4656
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for MARK LODESPOTO · (Male)

NPI # 1902896541
Status Active
Credentials MD
Entity Individual
Enumeration date 10/25/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 171063
  • NY Medicaid 01418331
Hospital affiliation(s)
  • SOUTH NASSAU COMMUNITIES HOSPITAL - (Acute Care)
    ONE HEALTHY WAY
    OCEANSIDE, NY 11572
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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