Doctor Mark Physician Pc

NPI 1164846085 - Specialist - 174400000X

NPI Details
NPI 1164846085
Enumeration Date 02/12/2014
Last Updated 02/12/2014
Entity Type Healthcare Provider
Active Over 2 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
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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.