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Individual

MARK PERSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10 UNION SQUARE EAST, BIMC- DEPT OF OTOLARYNGOLOGY, NEW YORK, NY 10003
(212) 844-8706
Mailing address
PO BOX 32887, HARTFORD, CT 06150
(212) 256-3539

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
1165981
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00242879
NY
Enumeration date
01/17/2006
Last updated
02/15/2013
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