Provider Demographics
NPI:1245723766
Name:MARK MARKLAND NP IN FAMILY HEALTH, P.C.
Entity type:Organization
Organization Name:MARK MARKLAND NP IN FAMILY HEALTH, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:A
Authorized Official - Last Name:MARKLAND
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-BC
Authorized Official - Phone:347-879-3469
Mailing Address - Street 1:114110 230TH ST
Mailing Address - Street 2:
Mailing Address - City:CAMBRIA HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11411-1326
Mailing Address - Country:US
Mailing Address - Phone:347-879-3469
Mailing Address - Fax:877-794-7710
Practice Address - Street 1:870 NOSTRAND AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11225-1510
Practice Address - Country:US
Practice Address - Phone:347-510-8173
Practice Address - Fax:929-498-4420
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-09
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QP2300X
NYF340170-1207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY4625834Medicaid