Individual
MARK ROBERT SUMNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
210 GENESEE STREET, ONEIDA HEALTHCARE CENTER, ONEIDA, NY 13421
(315) 463-5107
(315) 463-6029
Mailing address
104 1/2 COLLEGE STREET, CLINTON, NY 13323
(315) 463-5107
(315) 463-6029
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
1787851
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01340445
—
NY
Enumeration date
10/09/2005
Last updated
01/20/2012
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