Kenneth Mark Md Pc in Water Mill - Mohs-micrographic Surgery
Kenneth Mark Md Pc - NPI 1992982748
Kenneth Mark Md Pc is a Mohs-micrographic Surgery in Water Mill, New York. Kenneth Mark Md Pc practices all healthcare services and medical treatments related to Mohs-micrographic Surgery. The NPI Number for Kenneth Mark Md Pc is 1992982748. The last update date is 2013-04-03.
Kenneth Mark Md Pc's current location address is Po Box 175, Water Mill, New York. You can contact this provider via phone number 6312830002 and fax number 6312831932. The mailing address for Kenneth Mark Md Pc is Po Box 175, Water Mill, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kenneth Mark Md Pc |
|---|---|
| Address | Po Box 175, Water Mill, New York |
| Phone Number | 6312830002 |
| Fax Number | 6312831932 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Mark Andre Kenneth |
| Credentials | MD |
| Telephone Number | 6312830002 |
NPI Number Detail
| NPI Number | 1992982748 |
|---|---|
| Provider Enumeration Date | 2008-01-23 |
| Last Updated Date | 2013-04-03 |
Provider Mailing Address Detail
| Address | Po Box 175 |
|---|---|
| City | Water Mill |
| State | New York (NY) |
| Post Code | 119760175 |
| Phone Number | 6312830002 |
| Fax Number | 6312831932 |
Provider's Primary Taxonomy Detail
| Speciality | Mohs-micrographic Surgery |
|---|---|
| Taxonomy | 207Nd0101X |
| Licence No | 204164 |
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Definition: The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving |
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What is the unique 10-digit identification code assigned to Kenneth Mark Md Pc by the Centers for Medicare & Medicaid Services?
The Kenneth Mark Md Pc has been issued the NPI (National Provider Identifier) 1992982748, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kenneth Mark Md Pc located?
The Kenneth Mark Md Pc is located at Po Box 175, Water Mill, NY 119760175.
What is the Kenneth Mark Md Pc's specialty and taxonomy code?
The Kenneth Mark Md Pc's specialty is Mohs-micrographic Surgery, and the corresponding taxonomy code is 207Nd0101X.
On what date did the Kenneth Mark Md Pc receive the assignment of its 1992982748 from the Centers for Medicare & Medicaid Services?
The Kenneth Mark Md Pc was issued its 1992982748 by the Centers for Medicare & Medicaid Services on 2008-01-23.
As of what date were the Kenneth Mark Md Pc's details last updated?
The information pertaining to the Kenneth Mark Md Pc, including its address, specialty, and other details, was most recently updated on 2013-04-03.
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