Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MARK JOSEPH MIFSUD, O.T.R.
Active Sole ProprietorMR. MARK JOSEPH MIFSUD, O.T.R. is a Physical Rehabilitation Occupational Therapist healthcare provider located in JACKSON HEIGHTS, New York. NPI 1386978724 is currently active in the NPPES registry. Verify at CMS.
Physical Rehabilitation Occupational Therapist · JACKSON HEIGHTS, NY
Registration Details
- NPI Number
- 1386978724
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 1, 2009 (16.914887374381 yrs)
- Last Updated
- Oct 1, 2009
- License
-
002571 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
75-20 ASTORIA BLVD.SUITE 220JACKSON HEIGHTS, NY, 11370Browse NY providers · Browse ZIP 11370
- Phone
- 9176479458
- Primary Specialty
-
Physical Rehabilitation Occupational Therapist
225XP0019X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.