Mark Mensch, ATC
Physical Medicine & Rehabilitation, Sports Medicine in Mastic Beach, NY. Individual provider (NPI-1).
NPI number1699409367
StatusActive
Last updated in NPPESJul 10, 2022
Details
- NPI
- 1699409367
- Entity type
- Individual (NPI-1)
- Name
- Mark Mensch
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 10, 2022
- Certification date
- Jul 10, 2022
- Last updated
- Jul 10, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2081S0010X | Physical Medicine & Rehabilitation, Sports Medicine | 000232 | NY | Yes |
Practice location
630 Mastic Rd Ste 4Mastic Beach, NY 11951-1020
Phone 631-281-3871
Mailing address
Po Box 407Moriches, NY 11955-0407
Phone 631-375-5241
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