Active NPIIndividual providerSole proprietor

Dr. Mark Song, MD

Healthcare Provider in Brooklyn, New York

NPI Number1346227246
Practice location
339 Hicks St, Division Of Vascular Surgery, Brooklyn, NY 11201-5509
Fax
718-780-1309
Last updated
September 29, 2026

Mark Song is a Healthcare Provider based in Brooklyn, NY. Mark Song practices in Brooklyn, NY and has the professional credentials of MD. The NPI Number for Mark Song is 1346227246 and holds a License No. 25MA10473200 (NJ). The current practice location address for Mark Song is 339 Hicks St, Division Of Vascular Surgery, Brooklyn, NY 11201-5509 and can be reached out via phone at 718-780-1051 and via fax at 718-780-1309.

Provider Profile Details

NPI Number
1346227246
Provider Name
Mark Song
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
339 Hicks St, Division Of Vascular Surgery, Brooklyn, NY 11201-5509
Phone Number
718-780-1051
Fax Number
718-780-1309
Primary Taxonomy
Healthcare Provider · 2086S0129X
Sole Proprietor
Yes
Provider Enumeration Date
December 30, 2005
Last Update Date
September 29, 2026
Certification Date
September 25, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
339 Hicks St
Division Of Vascular Surgery
Brooklyn, NY 11201-5509
Zip
11201-5509
Phone Number
718-780-1051
Fax Number
718-780-1309
Brooklyn, NY 11201Get directions →

Provider Business Mailing Address Details

Address
339 Hicks St
2ND Fl Othmer Bldg
Brooklyn, NY 11201-5509
City
Brooklyn
State
NY
Zip
11201-5509
Phone Number
718-780-1051
Fax Number
718-780-1309

License Information

License Number (1)
25MA10473200
License State (1)
NJ
Taxonomy (1)
· 2086S0129X
License Number (2)
210025
License State (2)
NY
Taxonomy (2)
· 2086S0129X · Primary
License Number (3)
80164
License State (3)
CT
Taxonomy (3)
· 2086S0129X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Mark Song, MD?

The NPI number of Dr. Mark Song, MD is 1346227246. It was assigned on December 30, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Mark Song, MD?

Dr. Mark Song, MD is registered under the primary taxonomy Healthcare Provider (code 2086S0129X), licensed in NJ under license number 25MA10473200.

Where does Dr. Mark Song, MD practice?

The practice location is 339 Hicks St, Division Of Vascular Surgery, Brooklyn, NY 11201-5509. The office can be reached at 718-780-1051 (phone) or 718-780-1309 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1346227246 directly on the NPPES registry website.

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