Provider Demographics
NPI:1659964641
Name:MARKFCARE
Entity Type:Organization
Organization Name:MARKFCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:A
Authorized Official - Last Name:FARSETTA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:914-980-0295
Mailing Address - Street 1:144 PROSPECT PLACE
Mailing Address - Street 2:
Mailing Address - City:PEARL RIVER
Mailing Address - State:NY
Mailing Address - Zip Code:10965
Mailing Address - Country:US
Mailing Address - Phone:914-980-0295
Mailing Address - Fax:845-735-8181
Practice Address - Street 1:19 E CENTRAL AVE STE 9
Practice Address - Street 2:
Practice Address - City:PEARL RIVER
Practice Address - State:NY
Practice Address - Zip Code:10965-2355
Practice Address - Country:US
Practice Address - Phone:845-735-8181
Practice Address - Fax:845-735-8181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-19
Last Update Date:2021-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health