| NPI Details | |
|---|---|
| NPI | 1164846085 |
| Enumeration Date | 02/12/2014 |
| Last Updated | 02/12/2014 |
| Entity Type | Healthcare Provider |
| Active | Over 3 years ago |
| Authorized Information | |
|---|---|
| Name | MARK MARK |
| Position | PRESIDENT |
| Phone | (347) 541-6241 |
| Fax | (718) 764-1229 |
| Practice Location | |
|---|---|
| 1502 E 14TH ST STE 2 BROOKLYN NY, 11230-7283, US |
|
| Phone | (347) 541-6241 |
| Fax | (718) 764-1229 |
| Business Location | |
|---|---|
| 3612 AVENUE M BROOKLYN NY, 11234-2710, US |
|
| Phone | (347) 541-6241 |
| Fax | (718) 764-1229 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 174400000X |
| License State | New York |
| License Number | 245029 |
| Remove 1164846085 NPI Number | |
According to our database, Doctor Mark Physician Pc NPI is 1164846085, taxonomy code is 174400000X and license number is 245029, license state is located at New York. Doctor Mark Physician Pc physically located at 1502 E 14th St, Brooklyn NY, 11230-7283. NPI Number 1033115704 has the healthcare provider type.
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1164846085 NPI number is provided on an as is basis without warranty of any kind. 1164846085 is maintained by the National Plan & Provider Enumeration System. The contents of Doctor Mark Physician Pc are for informational purposes only.
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