Burke, Mark S

Burke, Mark S is an individual health care provider with primary practice located at 462 Grider St , Buffalo NY 14215-3098. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Burke, Mark S can be contacted via phone (716) 898-3073.

Contact Information

Primary practice address
462 Grider St Buffalo NY 14215-3098
Phone: (716) 898-3073
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 244867 New York
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 244867 New York

Profile Details

NPI number 1730341074
LBN Legal business name Burke, Mark S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2008
Last updated May 18th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730341074 NPPES
New York MEDICAID 03229334

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