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Organization

MARK MEDICAL CARE, PLLC

Active
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Organization

MARK MEDICAL CARE, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RON MARK MD (PRESIDENT)
(576) 376-5562
Entity
Organization

Contact information

Practice address
2103 DEER PARK AVE STE 200, DEER PARK, NY 11729-1317
(631) 574-2060
Mailing address
6 ANNETTE WAY, JERICHO, NY 11753-2836
(516) 376-5562
(949) 863-8548

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2147731
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04427969
NY
Enumeration date
04/04/2013
Last updated
10/19/2020
About Stedi
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