Organization
MARK MEDICAL CARE QUEENS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RON MARK MD (PRESIDENT/OWNER)
(631) 574-2060
Entity
Organization
Contact information
Practice address
6405 WOODSIDE AVE, WOODSIDE, NY 11377-3654
(877) 376-2751
(877) 673-8535
Mailing address
6 ANNETTE WAY, JERICHO, NY 11753-2836
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
03/20/2019
Last updated
03/20/2019
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