NPI 1649675604

Mkr Medical PC

Organisation Exclusive Provider Organization Valley Stream, NY

Practice location

Address: 5 Addison Pl, Valley Stream, NY 11580-5913
Phone: (347) 804-9297

Authorised official

Name: Marc Rybstein
Title: President
Phone: (516) 307-9618

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 012651 (NY)

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Registry record

NPI: 1649675604
Entity type: Organization
NPI issued: 1 Nov 2014
Record last updated: 19 Jan 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.