Individual
MR. MARK ALBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
79 MIDDLEVILLE RD, MHC BLD 64, NORTHPORT, NY 11768
(631) 261-4400
Mailing address
79 MIDDLEVILLE RD, MHC BLD 64, NORTHPORT, NY 11768
(631) 261-4400
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401374-1
NY
Other
Enumeration date
12/28/2011
Last updated
12/28/2011
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