Kenneth Mark Md Pc

LBN: Kenneth Mark Md Pc
Kenneth Mark Md Pc is an health care organization with primary practice located at 425 County Road 39A Suite 201, Southampton NY 11968-5277. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is the primary health care specialty. Kenneth Mark Md Pc can be contacted via phone (631) 283-0002, or through Mark, Kenneth Andre via phone (631) 283-0002.

Contact Information

Primary practice address
425 County Road 39A Suite 201 Southampton NY 11968-5277
Phone: (631) 283-0002
Fax: (631) 283-1932
Website:
Map and Directions
Authorized official contact:
Name: Mark, Kenneth Andre Doctor of Medicine (MD)
Phone: (631) 283-0002

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 204164 New York
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 204164 New York
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 204164 New York

Profile Details

NPI number 1992982748
LBN Legal business name Kenneth Mark Md Pc
DBA Doing business as
Authorized official Mark, Kenneth Andre Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 23rd, 2008
Last updated Apr 3rd, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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