Individual
MARK MENSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
630 MASTIC RD STE 4, MASTIC BEACH, NY 11951-1020
(631) 281-3871
Mailing address
PO BOX 407, MORICHES, NY 11955-0407
(631) 375-5241
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
000232
NY
Other
Enumeration date
07/10/2022
Last updated
07/10/2022
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