Glen Robert Mark, D.C.

Chiropractor · Riverhead, NY

Individual Active NPI

NPI number 1669415238

Practice location

633 Roanoke Ave
Riverhead, NY 11901-2727
Phone
(631) 727-3795
Fax
(631) 727-1961

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NPI record

NPI
1669415238
Entity type
Individual (Type 1)
Enumeration date
June 13, 2006
Last updated
March 10, 2020
Certified
March 10, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X XOO7337-1 NY

Mailing address

633 Roanoke Ave
Riverhead, NY 11901-2789
Phone
(631) 727-3795
Fax
(631) 727-1961

About Dr. Mark

Glen Robert Mark, D.C. is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 633 Roanoke Ave, Riverhead, NY 11901-2727. The NPI number 1669415238 was assigned on June 13, 2006 and the record was last updated on March 10, 2020.

Dr. Mark lists a license in the registry: #XOO7337-1 (NY) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Glen Robert Mark, D.C.?

The NPI number is 1669415238.

What is the phone number of Dr. Mark?

The phone number listed for the practice location is (631) 727-3795.

Where is Dr. Mark located?

633 Roanoke Ave, Riverhead, NY 11901-2727.

What is the taxonomy code for Dr. Mark?

The primary taxonomy code is 111N00000X – Chiropractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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