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1093933673
EVELYN MARK
BROOKLYN, NY
NPI
1093933673
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 007989)
Enumeration Date
2007-04-22
Last Update Date
2007-09-28
Business Address
Ms. EVELYN MARK PA
1 BROOKDALE PLZ EMERGENCY DEPARTMENT
BROOKLYN, NY 11212-3139
Phone number: 718-240-5180
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Mailing Address
Ms. EVELYN MARK PA
80 MARCUS DR PROVIDER ENROLLMENT
MELVILLE, NY 11747-4230
Phone number: 631-391-7889
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