Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK FANG, ATC
ActiveMARK FANG, ATC is a Athletic Trainer healthcare provider located in ROSLYN, New York. NPI 1578935557 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · ROSLYN, NY
Registration Details
- NPI Number
- 1578935557
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 29, 2015 (10.808177149103 yrs)
- Last Updated
- Oct 29, 2015
- License
-
002639-1 (NY)
Practice Information
- Address
-
65 SUGAR MAPLE DRROSLYN, NY, 115763230Browse NY providers · Browse ZIP 11576
- Phone
- 5162870070
- Primary Specialty
-
Athletic Trainer
2255A2300X
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.