Powell, Mark

Powell, Mark is an individual health care provider with primary practice located at 6400 Fremont Rd East Syracuse Minoa Hs, East Syracuse NY 13057-9436. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Powell, Mark can be contacted via phone (315) 434-3300.

Contact Information

Primary practice address
6400 Fremont Rd East Syracuse Minoa Hs East Syracuse NY 13057-9436
Phone: (315) 434-3300
Fax: (315) 434-3360
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 000352-1 New York

Profile Details

NPI number 1780134163
LBN Legal business name Powell, Mark
Credentials ATC, CSCS
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2016
Last updated Oct 10th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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