Organization
MKR MEDICAL PC
Active
Organization
MKR MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC RYBSTEIN (PRESIDENT)
(516) 307-9618
Entity
Organization
Contact information
Practice address
5 ADDISON PL, VALLEY STREAM, NY 11580-5913
(347) 804-9297
Mailing address
5 ADDISON PL, VALLEY STREAM, NY 11580-5913
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
012651
NY
Other
Enumeration date
11/01/2014
Last updated
01/19/2018
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