Individual provider · Type 1 NPI

Glen Robert Mark, DC

Chiropractor · Riverhead, NY

NPI number 1669415238 Active

Practice location

633 Roanoke Ave
Riverhead, NY 11901-2727

Call (631) 727-3795 Map

Fax (631) 727-1961

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XXOO7337-1 (NY)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1669415238

Glen Robert Mark, DC's National Provider Identifier is 1669415238, issued on Jun 13, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Riverhead, NY. The record was last updated on Mar 10, 2020.