Mark G Manchester in Middletown - Specialist

Mark G Manchester - NPI 1578653085

Mark G Manchester is a Specialist in Middletown, New York. Mark G Manchester practices all healthcare services and medical treatments related to Specialist. The NPI Number for Mark G Manchester is 1578653085. The last update date is 2007-07-08.

Mark G Manchester's current location address is 1 Montgomery St, Middletown, New York. You can contact this provider via phone number 8453437337 and fax number 8453431710. The mailing address for Mark G Manchester is 1 Montgomery St, Middletown, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark G Manchester
Address 1 Montgomery St, Middletown, New York
Phone Number 8453437337
Fax Number 8453431710
Sole Proprietor N
Credentials CO2015

NPI Number Detail

NPI Number 1578653085
Provider Enumeration Date 2006-10-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1 Montgomery St
City Middletown
State New York (NY)
Post Code 109405115
Phone Number 8453437337
Fax Number 8453431710

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
368350 NY --

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FAQs about Mark G Manchester

What is the unique 10-digit identification code issued to Mark G Manchester by the Centers for Medicare & Medicaid Services?

The Mark G Manchester has been assigned the NPI (National Provider Identifier) 1578653085 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Mark G Manchester's facilities are geographically located?

The facilities of Mark G Manchester are physically situated at the following location: 1 Montgomery St, Middletown, NY, 109405115.

What is Mark G Manchester's specialized field of practice, and what is the corresponding taxonomy classification code?

The Mark G Manchester's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.

On what date was the 1578653085 assigned to Mark G Manchester?

The Mark G Manchester was issued its 1578653085 on 2006-10-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Mark G Manchester most recently updated or revised?

The information pertaining to Mark G Manchester, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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