Individual
MARK S DRIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
75 CRYSTAL RUN RD, BUILDING B, SUITE 220, MIDDLETOWN, NY 10941-7000
(845) 467-6998
(845) 692-0675
Mailing address
660 WHITE PLAINS RD FL 4, TARRYTOWN, NY 10591-5139
(914) 984-2546
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
236933
NY
207YP0228X
Pediatric Otolaryngology Physician
236933
NY
Other
Enumeration date
11/22/2005
Last updated
07/22/2025
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