Individual
MARK SCHRECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
65 PENNSYLVANIA AVE, BINGHAMTON, NY 13903-1651
(607) 723-5393
Mailing address
2501 FOXWOOD LN, VESTAL, NY 13850-2951
(607) 206-6830
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
304612
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2014
Last updated
06/04/2020
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