DR. Mark Sandberg
NPI #1831191709 in Port Jefferson, New York
Provider Information
- NPI Number
- 1831191709
- Entity Type
- Individual
- Name
- DR. Mark Sandberg
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Clinical Neuropsychologist
- Enumeration Date
- Aug 11, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 200 BELLE TERRE RD
- City
- Port Jefferson
- State
- New York
- ZIP Code
- 11777-1928
- Phone
- (631) 474-6000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Neuropsychologist |
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