Individual
DR. GLEN ROBERT MARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
633 ROANOKE AVE, RIVERHEAD, NY 11901-2727
(631) 727-3795
(631) 727-1961
Mailing address
633 ROANOKE AVE, RIVERHEAD, NY 11901-2789
(631) 727-3795
(631) 727-1961
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
XOO7337-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CO-7337-1
WORKERS COMPENSATION
NY
Enumeration date
06/13/2006
Last updated
03/10/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us