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NPI Code Detail

MEDICARE: PAUL MARKS L.AC.

MEDICARE:   PAUL  MARKS  L.AC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171100000XAcupuncturist4454NY

General Provider Information

NPI Number : 1417248154
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL MARKS L.AC.
Provider Business Mailing Address
First Line : 1521 COUNTY ROUTE 13
Second Line :
City : BRAINARD
State : NY
Zip : 12024-2711
Country : US
Telephone Number : 518-828-0205
Fax Number : 646-224-8399
Provider Business Practice Location Address
First Line : 454 WARREN ST APT 3
Second Line :
City : HUDSON
State : NY
Zip : 12534-2445
Country : US
Telephone Number : 518-828-0205
Fax Number : 646-224-8399
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2011
Last Update Date : 10/27/2025

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Directions to “ PAUL MARKS L.AC.” Practice Location

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