Provider Demographics
NPI:1386959021
Name:FERRY, MARK ANDREW (DC)
Entity type:Individual
Prefix:MR
First Name:MARK
Middle Name:ANDREW
Last Name:FERRY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5333 TRANSIT RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:DEPEW
Mailing Address - State:NY
Mailing Address - Zip Code:14043-4333
Mailing Address - Country:US
Mailing Address - Phone:716-681-6000
Mailing Address - Fax:716-681-3111
Practice Address - Street 1:5333 TRANSIT RD
Practice Address - Street 2:SUITE C
Practice Address - City:DEPEW
Practice Address - State:NY
Practice Address - Zip Code:14043-4333
Practice Address - Country:US
Practice Address - Phone:716-681-6000
Practice Address - Fax:716-681-3111
Is Sole Proprietor?:No
Enumeration Date:2010-08-17
Last Update Date:2015-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX011891111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor