Individual
LAURIE MARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
419 PARK AVE S, SUITE 1305, NEW YORK, NY 10016-8410
(212) 545-5400
(212) 447-1796
Mailing address
419 PARK AVE S, SUITE 1305, NEW YORK, NY 10016-8410
(212) 545-5400
(212) 447-1796
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
F337069-1
NY
Other
Enumeration date
06/27/2014
Last updated
06/27/2014
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