Individual provider · Type 1 NPI

Mark G. Manchester, CO2015

Specialist · Middletown, NY

NPI number 1578653085 Active

Practice location

1 Montgomery St
Middletown, NY 10940-5115

Fax (845) 343-1710

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNA

Specialist: 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.

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About NPI 1578653085

Mark G. Manchester, CO2015's National Provider Identifier is 1578653085, issued on Oct 13, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Middletown, NY. The record was last updated on Jul 8, 2007.