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1255453965
RICHARD N MARK
EAST SETAUKET, NY
NPI
1255453965
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 002725-1)
Enumeration Date
2007-04-04
Last Update Date
2007-07-08
Business Address
Mr. RICHARD N MARK PTA
3 TECHNOLOGY DR STE 400
EAST SETAUKET, NY 11733-4078
Phone number: 631-751-8000
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Mailing Address
Mr. RICHARD N MARK PTA
97 WYANDANCH BLVD
SMITHTOWN, NY 11787-4293
Phone number: 631-864-8244
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