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Individual

DR. MARK A. RAINEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
31 ARNOT RD, HORSEHEADS, NY 14845-8533
(607) 739-3874
(607) 739-3632
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
(570) 882-3007

Taxonomy

Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
168540-1
NY
2083X0100X
Occupational Medicine Physician
MD031587E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0019050100001
PA
05
02277503
NY
Enumeration date
02/13/2006
Last updated
07/08/2007
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