Individual
JOHN J MARK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
990 STEWART AVE, GARDEN CITY, NY 11530-4822
(516) 222-2022
(516) 222-8475
Mailing address
990 STEWART AVE, GARDEN CITY, NY 11530-4822
(516) 222-2022
(516) 222-8475
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
147046
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00721444
—
NY
Enumeration date
11/04/2006
Last updated
04/21/2011
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