Individual
DR. MARK PAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1275 YORK AVE, RADIOLOGY DEPARTMENT, NEW YORK, NY 10065-6007
(212) 639-2000
Mailing address
504 E 63RD ST, APARTMENT 13N, NEW YORK, NY 10065-7919
(917) 499-6810
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
P84511
NY
Other
Enumeration date
09/27/2012
Last updated
09/27/2012
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