Individual
MARK SOHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3 BRENTWOOD AVE, GLOVERSVILLE, NY 12078-1002
(518) 848-0801
Mailing address
3 BRENTWOOD AVE, GLOVERSVILLE, NY 12078-1002
(518) 848-0801
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03352834
—
NY
Enumeration date
06/09/2016
Last updated
06/09/2016
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