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Mark G Manchester, CO2015
Specialist in Middletown, New York
NPI 1578653085

Mark G Manchester is a Specialist based in Middletown, NY. Mark G Manchester practices in Middletown, NY and has the professional credentials of CO2015. The NPI Number for Mark G Manchester is 1578653085 and holds a License No. NA (New York).

The current practice location address for Mark G Manchester is 1 Montgomery St, Middletown, NY and can be reached out via phone at 845-343-7337 and via fax at 845-343-1710.

Location: 1 Montgomery St, Middletown, NY, 10940-5115
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578653085
Provider Name
Mark G Manchester
Credential
CO2015
Provider Entity Type
Individual
Gender
Male
Address
1 Montgomery St, Middletown, NY, 10940-5115
Phone Number
845-343-7337
Fax Number
845-343-1710
Provider Enumeration Date
10/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00368350 05 NY
institution
Provider Business Practice Location Address Details
Address
1 Montgomery St
City
Middletown
State
New York
Zip
10940-5115
Phone Number
845-343-7337
Fax Number
845-343-1710
person
Provider Business Mailing Address Details
Address
1 Montgomery St
City
Middletown
State
New York
Zip
10940-5115
Phone Number
845-343-7337
Fax Number
845-343-1710
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
NA ()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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