Individual
DR. MARK SANDBERG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 BELLE TERRE RD, PORT JEFFERSON, NY 11777-1928
(631) 474-6000
Mailing address
200 BELLE TERRE RD, PORT JEFFERSON, NY 11777-1928
(631) 474-6000
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
010083
NY
Other
Enumeration date
08/11/2005
Last updated
07/08/2007
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