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1689415853
MARK TERRENCE BEACH
BROOKLYN, NY
NPI
1689415853
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 012562-01)
Enumeration Date
2024-06-03
Last Update Date
2024-06-03
Business Address
Mr. MARK TERRENCE BEACH
1467 BEDFORD AVE
BROOKLYN, NY 11216-3851
Phone number: 718-550-2618
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Mailing Address
Mr. MARK TERRENCE BEACH
1538 NEW YORK AVE APT 2F
BROOKLYN, NY 11210-2770
Phone number:
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