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1982355772
MARK FEDORCZAK
GREAT NECK, NY
NPI
1982355772
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 022511)
Additional Taxonomies
225100000X Physical Therapist
Enumeration Date
2022-01-12
Last Update Date
2022-01-27
Business Address
MARK FEDORCZAK
475 NORTHERN BLVD STE 11
GREAT NECK, NY 11021-4802
Phone number: 516-829-0030
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Mailing Address
MARK FEDORCZAK
475 NORTHERN BLVD STE 27
GREAT NECK, NY 11021-4802
Phone number:
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