Kenneth Mark MD PC
NPI #1992982748 in Southampton, New York
Provider Information
- NPI Number
- 1992982748
- Entity Type
- Organization
- Organization Name
- Kenneth Mark MD PC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- KENNETH MARK M.D. PC
- Primary Specialty
- Dermatology - MOHS-Micrographic Surgery
- Enumeration Date
- Jan 23, 2008
- Last Updated
- Apr 3, 2013
Practice Location
- Address
- 425 COUNTY ROAD 39A
- Address 2
- SUITE 201
- City
- Southampton
- State
- New York
- ZIP Code
- 11968-5277
- Phone
- (631) 283-0002
Authorized Official
- Name
- DR. KENNETH ANDRE MARK, MD
- Title
- PHYSICIAN
- Phone
- (631) 283-0002
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology |
| Dermatology - Procedural Dermatology — Procedural Dermatology |
| Dermatology - MOHS-Micrographic Surgery — MOHS-Micrographic Surgery |
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