Individual
MARK FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
599 CONVENT ROAD, ORANGEBURG, NY 10962-1199
(845) 359-1000
Mailing address
567 BLAUVELT RD, PEARL RIVER, NY 10965-2848
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
157521
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157521
—
NY
Enumeration date
11/06/2007
Last updated
11/06/2007
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