Individual
MARK ANTHONY VERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
254 CHURCH ST, SUITE 1, SARATOGA SPRINGS, NY 12866-1076
(518) 587-8400
(518) 587-4155
Mailing address
254 CHURCH ST, SUITE 1, SARATOGA SPRINGS, NY 12866-1076
(518) 587-8400
(518) 587-4155
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
1898671
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01341340
—
NY
Enumeration date
12/05/2005
Last updated
01/27/2010
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