Individual
DR. MARK L MUDANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
75 BEEKMAN ST, PLATTSBURGH, NY 12901-1438
(518) 561-2000
Mailing address
75 BEEKMAN ST, PLATTSBURGH, NY 12901-1438
(518) 561-2000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
28054
GA
207X00000X
Orthopaedic Surgery Physician
Primary
309292
NY
207X00000X
Orthopaedic Surgery Physician
ME132909
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000802722E
—
GA
Enumeration date
09/13/2006
Last updated
10/19/2022
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