Individual
BETH A MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA C
Contact information
Practice address
1 ATWELL RD, COOPERSTOWN, NY 13326-1301
(607) 547-4762
Mailing address
1 ATWELL RD, COOPERSTOWN, NY 13326-1301
(607) 547-4762
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
010494 1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02635358
—
NY
Enumeration date
08/16/2005
Last updated
11/30/2009
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