Individual
DR. MARK FURSHPAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1563 MONTAUK HWY, OAKDALE, NY 11769-1322
(631) 563-3162
(631) 563-3185
Mailing address
1563 MONTAUK HWY, OAKDALE, NY 11769-1322
(631) 563-3162
(631) 563-3185
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
008908
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
61010237344
—
NY
Enumeration date
10/10/2006
Last updated
07/09/2007
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