Organization
MARK D. FROMER, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IAN MALTZMAN (ADMINISTRATOR)
(646) 628-2507
Entity
Organization
Contact information
Practice address
876 PARK AVE, NEW YORK, NY 10075-1832
(212) 734-7788
Mailing address
876 PARK AVE, NEW YORK, NY 10075-1832
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
174683-1
NY
Other
Enumeration date
08/30/2007
Last updated
08/30/2007
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