Mark Anthony Fellows

NPI 1629226972 - Physical Therapist - 225100000X

NPI Details
NPI 1629226972
Gender Male
Enumeration Date 08/28/2008
Last Updated 08/28/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
7 BALLAD PL
STONY BROOK NY, 11790-2625, US
Phone (631) 689-7523
Fax
Business Location
7 BALLAD PL
STONY BROOK NY, 11790-2625, US
Phone (631) 689-7523
Fax
Toxanomy
Taxonomy Code 225100000X
License State New York
License Number 011685
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According to our database, Mark Anthony Fellows NPI is 1629226972, taxonomy code is 225100000X and license number is 011685, license state is located at New York. Mark Anthony Fellows physically located at 7 Ballad Pl, Stony Brook NY, 11790-2625. NPI Number Mark Anthony Fellows has the Individual type.

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1629226972 NPI number is provided on an as is basis without warranty of any kind. 1629226972 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Anthony Fellows are for informational purposes only.