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Individual

DR. MARK HAROLD FONROSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
900 FRANKLIN AVE, FRANKLIN HOSPITAL, VALLEY STREAM, NY 11580-2145
(516) 256-6353
Mailing address
900 FRANKLIN AVE, FRANKLIN HOSPITAL, VALLEY STREAM, NY 11580-2145

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
179657-1
NY

Other

Enumeration date
01/23/2007
Last updated
10/31/2009
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