Individual
MARK MONROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
289 LOUIS AVE, FLORAL PARK, NY 11001-3524
(347) 554-3810
(347) 554-3810
Mailing address
289 LOUIS AVE, FLORAL PARK, NY 11001
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17440000X
SPECIALIST
NY
Enumeration date
07/27/2017
Last updated
07/27/2017
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