Individual
DR. MARK MEDICI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
507 AIRPORT EXECUTIVE PARK, NANUET, NY 10954-5238
(845) 262-5313
(845) 262-5330
Mailing address
507 AIRPORT EXECUTIVE PARK, NANUET, NY 10954-5238
(845) 358-1000
(845) 358-2155
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2030161
NY
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
2030161
NY
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
2030161
NY
Other
Enumeration date
01/25/2007
Last updated
02/29/2016
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