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NPI Code Detail

MEDICARE: PATRICIA MARKS RT(T) MBS

MEDICARE: PATRICIA MARKS RT(T) MBS
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
1171M00000XCase Manager/Care CoordinatorNY

General Provider Information

NPI Number : 1821950486
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA MARKS RT(T) MBS
Provider Business Mailing Address
First Line : 6012 COUNTY FARM RD
Second Line :
City : BALLSTON SPA
State : NY
Zip : 12020-2251
Country : US
Telephone Number : 518-584-7460
Fax Number : 518-583-1202
Provider Business Practice Location Address
First Line : 6012 COUNTY FARM RD
Second Line :
City : BALLSTON SPA
State : NY
Zip : 12020-2251
Country : US
Telephone Number : 518-584-7460
Fax Number : 518-583-1202
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2025
Last Update Date : 12/02/2025

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Directions to “ PATRICIA MARKS RT(T) MBS” Practice Location

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