Provider Demographics
NPI:1548263858
Name:JOFE, MARK (MD)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:
Last Name:JOFE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2785 OCEAN PKWY
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-7838
Mailing Address - Country:US
Mailing Address - Phone:718-646-2200
Mailing Address - Fax:718-646-6623
Practice Address - Street 1:2785 OCEAN PKWY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-7838
Practice Address - Country:US
Practice Address - Phone:718-646-2200
Practice Address - Fax:718-646-6623
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-31
Last Update Date:2010-06-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY134717207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00587673Medicaid
NYB16224Medicare UPIN
NY54A021Medicare PIN