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Individual

MARK GEOFFREY GRESSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
626 CANAL RD, MT SINAI, NY 11766
(631) 331-3338
(631) 331-0014
Mailing address
626 CANAL RD, MT SINAI, NY 11766
(631) 331-3338
(631) 331-0014

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N003743
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00886888
NY
Enumeration date
08/04/2006
Last updated
07/08/2007
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