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Individual
MARK FEDORCZAK
Active
Individual
MARK FEDORCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
022511
NY
225100000X
Physical Therapist
—
—
Other
Enumeration date
01/12/2022
Last updated
01/27/2022
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