National Provider Identifier
Mark Marcello
Mark Marcello is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Amherst, NY and a listed phone number of (716) 839-1550.
Profile Overview
- NPI
- 1730743931
- Provider Type
- Individual
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- April 24, 2019
- Last Updated
- April 24, 2019
Practice Location
- 4498 Main/Harlem RD Suite 24
- Amherst, NY 14226
Phone: (716) 839-1550
Specialties
- Physical Therapy Assistant (225200000X)
Full Record
- NPI
- 1730743931
- Entity Type
- Individual
- Last Name
- Marcello
- First Name
- Mark
- Provider Other Last Name
- Marcello
- Provider Other First Name
- Mark
- Provider Other Credential Text
- PTA
- Provider Other Last Name Type Code
- 2
- Mailing Street Address
- 4498 Main/Harlem RD Suite 24
- Mailing City
- Amherst
- Mailing State
- NY
- Mailing ZIP Code
- 14226
- Mailing Country
- US
- Mailing Phone
- (716) 839-1550
- Mailing Fax
- (716) 839-1696
- Practice Street Address
- 4498 Main/Harlem RD Suite 24
- Practice City
- Amherst
- Practice State
- NY
- Practice ZIP Code
- 14226
- Practice Country
- US
- Practice Phone
- (716) 839-1550
- Practice Fax
- (716) 839-1696
- Enumeration Date
- April 24, 2019
- Last Updated
- April 24, 2019
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapy Assistant (225200000X)
- Other Identifiers
- J100132514 (NY, PT)