Dr. Glen Robert Mark is a Riverhead, New York based male chiropractor with 31 years of experience in General Chiropractor. He completed his graduation from Life Chiropractic College in 1993. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Glen Robert Mark as General Chiropractor is XOO7337-1 in New York. Dr. Glen Robert Mark is qualified as 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.
Complete Profile:
Dr. Glen Robert Mark speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
D.C.
Experience:
31+ years
Medical School Attended:
Life Chiropractic College
Graduation Year:
1993
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
633 Roanoke Ave, Riverhead, New York, 11901-2727
Phone:
631-727-3795
Fax:
631-727-1961
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
4981684842
Enrollment ID:
I20040721001251
NPI Number:
1669415238
NPI Enumeration Date:
13 Jun, 2006
NPI Last Update On:
10 Mar, 2020
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Glen Robert Mark are as mentioned below.
License Number
Specialization
State
Status
XOO7337-1
Chiropractor
New York
Primary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Glen Robert Mark is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Hallmark Chiropractic (2264400308)
2
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Glen Robert Mark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
CO-7337-1
Other
New York
WORKERS COMPENSATION
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
633 Roanoke Ave, Riverhead, New York
Zip:
11901-2789
Phone Number:
631-727-3795
Fax Number:
631-727-1961
Patients can reach Dr. Glen Robert Mark at 633 Roanoke Ave, Riverhead, New York or can call to book an appointment on 631-727-3795. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.