Kenneth Andre Mark, MD
Kenneth Andre Mark, MD is a Dermatology in Southampton, New York. Graduated from State University of Ny Upstate Medical University in 1995, 31 years ago. Practices with Kenneth Mark MD PC, a 2-clinician group and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 31
- Trained at
- State University of Ny Upstate Medical University
- Licensed in
- NY
- In the registry since
- 2006
- Specialties on file
- 3
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
365 County Road 39A Ste 14Southampton, NY 11968-5284
Phone: (631) 283-0002
Fax: (631) 283-1932
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| MOHS-Micrographic Surgery Physician (primary) | Taxonomy 207ND0101X · Licence 204164 (NY) |
|---|---|
| Dermatology Physician | Taxonomy 207N00000X · Licence 204164 (NY) |
| Procedural Dermatology Physician | Taxonomy 207NS0135X · Licence 204164 (NY) |
Record details
| NPI number | 1538199310 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | July 4, 2006 |
| Last updated in NPPES | September 12, 2012 |
| Mailing address | Po Box 175, Water Mill, NY 11976-0175 |
Medicare enrollment
| Medicare specialty | DERMATOLOGY |
|---|---|
| Medical school | STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY |
| Graduated | 1995 (31 years in practice) |
| Group practice | Kenneth Mark Md Pc — 2 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |