Provider Demographics
NPI:1871773473
Name:ENGLISH, MARK S
Entity type:Individual
Prefix:MR
First Name:MARK
Middle Name:S
Last Name:ENGLISH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:179 EAST AVE
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-3605
Mailing Address - Country:US
Mailing Address - Phone:518-886-8691
Mailing Address - Fax:
Practice Address - Street 1:155 BALLSTON AVE
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-4715
Practice Address - Country:US
Practice Address - Phone:518-587-3050
Practice Address - Fax:518-587-5972
Is Sole Proprietor?:No
Enumeration Date:2007-11-12
Last Update Date:2007-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY046249183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist