Glen Robert Mark (NPI# 1669415238, PAC ID# 4981684842) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1669415238 |
| PAC ID by PECOS | 4981684842 |
| Professional Enrollment ID | I20040721001251 |
| Full Name | Glen Robert Mark |
| Organization Legal Name | HALLMARK CHIROPRACTIC |
| Address |
633 Roanoke Ave Riverhead NY 11901-2727 |
| Phone Number | 6317273795 |
| Gender | M |
| Credential | DC |
| Medical School | LIFE CHIROPRACTIC COLLEGE |
| Graduation Year | 1993 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 2264400308 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 633 Roanoke Ave, Riverhead, NY 11901-2727 | 6317273795 | HALLMARK CHIROPRACTIC |
| Organization Legal Name | HALLMARK CHIROPRACTIC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nancy S Mark | Chiropractic | Hallmark Chiropractic | 633 Roanoke Ave, Riverhead, NY 11901-2727 |
| Street Address |
633 ROANOKE AVE |
| City | RIVERHEAD |
| State | NY |
| Zip | 11901-2727 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nancy S Mark | Chiropractic | Hallmark Chiropractic | 633 Roanoke Ave, Riverhead, NY 11901-2727 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victor Olujimi | Orthopedic Surgery | Peconic Bay Primary Medical Care PC | 64 Commerce Dr, Riverhaed, NY 11901 |
| Afzal M Butt | Internal Medicine | Peconic Bay Primary Medical Care PC | 34 Commerce Dr, Riverhaed, NY 11901 |
| Maryann Larosa | Clinical Social Worker | Opo 21 W 2nd St, Suite 16, Riverhead, NY 11901-1930 | |
| Lizbeth Jansen | Physical Therapy | North Fork Physical Therapy PC | 31 Main Rd, Suite 4, Riverhead, NY 11901-1953 |
| Tiffany C Hunter | Obstetrics/gynecology | North Shore-lij Medical PC | 31 Main Rd, Riverhead, NY 11901-1953 |
| Barbara Gredysa | Endocrinology | 31 Main Rd, Suite 2, Riverhead, NY 11901-1953 | |
| Zeinab Fath El Bab | Obstetrics/gynecology | North Shore-lij Medical PC | 31 Main Rd, Suite 7, Riverhead, NY 11901-1953 |
| David Kuck | Physical Therapy | North Fork Physical Therapy PC | 31 Main Rd, Suite 4, Riverhead, NY 11901-1953 |
| Scott Z Czujko | Physical Therapy | North Fork Physical Therapy PC | 31 Main Rd, Suite 4, Riverhead, NY 11901-1953 |
| Andrew H Nataloni | Obstetrics/gynecology | North Shore-lij Medical PC | 31 Main Rd, Riverhead, NY 11901-1953 |
| Find all physicians in zip 11901 | |||
| City | RIVERHEAD |
| Zip Code | 11901 |
| Specialty | CHIROPRACTIC |
| City + Specialty | RIVERHEAD + CHIROPRACTIC |
Please comment or provide details below to improve the information on Glen Robert Mark.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.