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Emily Mark
Family Nurse Practitioner in Lake Grove, New York
NPI 1992463855

Emily Mark is a Family Nurse Practitioner based in Lake Grove, NY and is specialized in Family. Emily Mark practices in Lake Grove, NY. The NPI Number for Emily Mark is 1992463855 and holds a License No. F347182-01 (New York).

The current practice location address for Emily Mark is 28 Olive St, Lake Grove, NY and can be reached out via phone at 631-252-2762.

Location: 28 Olive St, Lake Grove, NY, 11755-3106
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992463855
Provider Name
Emily Mark
Credential
Provider Entity Type
Individual
Gender
Female
Address
28 Olive St, Lake Grove, NY, 11755-3106
Phone Number
631-252-2762
Fax Number
Provider Enumeration Date
12/07/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
28 Olive St
City
Lake Grove
State
New York
Zip
11755-3106
Phone Number
631-252-2762
Fax Number
person
Provider Business Mailing Address Details
Address
28 Olive St
City
Lake Grove
State
New York
Zip
11755-3106
Phone Number
631-252-2762
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
F347182-01 (New York)
Definition
Definition to come...
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