Mark, Kenneth Andre

Mark, Kenneth Andre is an sole proprietor health care provider with primary practice located at 365 County Road 39A Suite 14, Southampton NY 11968-5284. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Mark, Kenneth Andre can be contacted via phone (631) 283-0002.

Contact Information

Primary practice address
365 County Road 39A Suite 14 Southampton NY 11968-5284
Phone: (631) 283-0002
Fax: (631) 283-1932
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1538199310
LBN Legal business name Mark, Kenneth Andre
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 4th, 2006
Last updated Sep 12th, 2012 - about 12 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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