Healthcare Provider Details

I. General information

NPI: 1841387909
Provider Name (Legal Business Name): MEDMARKET CONSULTING INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2006
Last Update Date: 03/27/2025
Certification Date: 03/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

718 LONG ISLAND AVE STE. A
DEER PARK NY
11729
US

IV. Provider business mailing address

7521 S OLYMPIA AVE # 1041
TULSA OK
74132-1855
US

V. Phone/Fax

Practice location:
  • Phone: 918-830-1090
  • Fax:
Mailing address:
  • Phone: 918-830-1090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MR. CHRISTOPHER PARKS
Title or Position: MANAGER/OWNER
Credential: AUTH. OFFICIAL
Phone: 918-830-1090