MARK D. FROMER, M.D., P.C.
Medical Practice at Park Ave, New York, NY

License number
New York 174683-1
Category
Medical Practice
Type
Ophthalmology
Owner
Name: MR. IAN MALTZMAN
Title: ADMINISTRATOR
Phone: (646) 628-2507
Address
Address
876 Park Ave, New York, NY 10075
National Provider ID: 1609060839
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MARK D. FROMER, M.D., PC

115 E 61 St, New York, NY 10021

Registration:
Mar 10, 1998
State ID:
2236703
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Mark D. Fromer M.d, 115 E 61 St APT 7-F, New York, NY 10021 (Physical)
Agent:
Dr. Fromer,115 E 61 St APT 7-F, New York, NY 10021 (Physical)

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