Mark Mina Ishak (NPI# 1356682652, PAC ID# 3870822513) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROSURGERY.
| Nation Provider ID (NPI) | 1356682652 |
| PAC ID by PECOS | 3870822513 |
| Professional Enrollment ID | I20190905003057 |
| Full Name | Mark Mina Ishak |
| Address |
2500 Nesconset Hwy Bldg 18c Stony Brook NY 11790-2563 |
| Gender | M |
| Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2019 |
| Primary Specialty | NEUROSURGERY |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330401 | ST CATHERINE OF SIENA HOSPITAL |
| 330185 | JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON |
| 330141 | BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER |
| 330246 | ST CHARLES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2500 Nesconset Hwy, Bldg 18c, Stony Brook, NY 11790-2563 |
| Street Address |
2500 NESCONSET HWY BLDG 18C |
| City | STONY BROOK |
| State | NY |
| Zip | 11790-2563 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Myron Drazen I | Psychologist, Clinical | 2500 Nesconset Hwy, Bldg 5d, Stony Brook, NY 11790-2552 | |
| Gideon L Schneck | Ophthalmology | Prohealth Care Associates LLP | 2500 Nesconset Hwy, Stony Brook, NY 11790-2555 |
| Scott B Berman | Obstetrics/gynecology | 2500 Nesconset Hwy, Building 12 Suite 45, Stony Brook, NY 11790-2555 | |
| Suranganee M De Lanerolle | Neurology | 2500 Nesconset Hwy, Bldg 12b, Stony Brook, NY 11790-2553 | |
| Robert Mosca | Physical Therapy | Robert Mosca Physical Therapy Pllc | 2500 Nesconset Hwy, Bldg 22b, Stony Brook, NY 11790-2598 |
| Derek Mattimoe | Family Medicine | Chs Physician Partners PC | 2500 Nesconset Hwy, Bldg 7d, Stony Brook, NY 11790-2566 |
| Mitchell Kirsch | Nephrology | North Shore Hematology Oncology Associates PC | 2500 Nesconset Hwy, Bldg 26b, Stony Brook, NY 11790-2565 |
| Brooke Moore | Nephrology | North Shore Hematology Oncology Associates PC | 2500 Nesconset Hwy, Bldg 26b, Stony Brook, NY 11790-2565 |
| Frank L Zhang | Internal Medicine | 2500 Nesconset Hwy, Bldg 18b, Stony Brook, NY 11790-2563 | |
| Martin H Ehrlich | Family Medicine | Chs Physician Partners PC | 2500 Nesconset Hwy, Bldg 7d, Stony Brook, NY 11790-2566 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen Weitzman | Infectious Disease | 36 Erland Rd, Stony Brook, NY 11790-1125 | |
| Karin E Wile | Clinical Social Worker | 34 Erland Rd, Stony Brook, NY 11790-1125 | |
| Stephen L Frederico | Clinical Social Worker | 7 Soundview Ct, Stony Brook, NY 11790-1419 | |
| Christopher Bahnken | Physical Therapy | Kah Premium Physical Therapy P.C. | 97 Main St, Suite H, Stony Brook, NY 11790-1900 |
| Kimberly A Harris | Physical Therapy | Kah Premium Physical Therapy P.C. | 97 Main St, Suite H, Stony Brook, NY 11790-1900 |
| Thomas Robert Sanders | Physical Therapy | Kah Premium Physical Therapy P.C. | 97 Main St, Suite H, Stony Brook, NY 11790-1900 |
| Barnett T Schrier | Optometry | 125 Main St, Stony Brook, NY 11790-1911 | |
| Karin Schlee | Psychologist, Clinical | 1239 N Country Rd, 6a, Stony Brook, NY 11790-1920 | |
| Dina Vivian | Psychologist, Clinical | 1239 N Country Rd, Suite 6a, Stony Brook, NY 11790-1920 | |
| Mark Schoenberg | Psychiatry | 1239 N Country Rd, Suite 7, Stony Brook, NY 11790-1920 | |
| Find all physicians in zip 11790 | |||
| City | STONY BROOK |
| Zip Code | 11790 |
| Specialty | NEUROSURGERY |
| City + Specialty | STONY BROOK + NEUROSURGERY |
Please comment or provide details below to improve the information on Mark Mina Ishak.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.