Individual
MR. MARK SEBESTA SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2141 34TH AVE APT 2C, ASTORIA, NY 11106-4356
(855) 455-8446
Mailing address
2141 34TH AVE APT 2C, ASTORIA, NY 11106-4356
(855) 455-8446
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/03/2013
Last updated
10/03/2013
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