MARK O FURSHPAN CP

Dr MARK O FURSHPAN CP is a male medical professional, specializing in Psychologist, Clinical. He graduated in 1986.

Contact

1563 MONTAUK HWY
OAKDALE
NY
117691322

Tel:

MARK O FURSHPAN CP Information

Npi 1851488704
Pac Id 1850385576
Professional Enrollment Id I20040414000327
Last Name FURSHPAN
First Name MARK
Middle Name O
Suffix
Gender M
Credential CP
Medical School Name OTHER
Graduation Year 1986
Primary Specialty PSYCHOLOGIST, CLINICAL
Secondary Specialty 1
Secondary Specialty 2
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Secondary Specialty 4
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Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 1563 MONTAUK HWY
Line 2 Street Address
Marker Of Address Line 2 Suppression
City OAKDALE
State NY
Zip Code 117691322
Phone Number
Hospital Affiliation Ccn 1
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Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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