OrganizationActive
Kenneth Mark MD PC
NPI 1992982748 · MOHS-Micrographic Surgery Physician · Southampton, NY
Provider details
- NPI number
- 1992982748
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Kenneth Mark M.D. PC
- Organization subpart
- Yes
- Authorized official
- Kenneth Mark, Physician(631) 283-0002
- License
- 204164 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
425 County Road 39a Ste 201
Southampton, NY 11968-5246
Phone: (631) 283-0002
Fax: (631) 283-1932
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 175
Water Mill, NY 11976-0175
Additional practice locations (2)
- 200 Pantigo Pl Ste NEast Hampton, NY 11937-5923Phone: (631) 283-0292
- 155 Spring St Fl 4New York, NY 10012-5208Phone: (631) 283-0292
Registry dates
- Enumerated
- 2008-01-23
- Last updated
- 2026-05-26
- Certified
- 2026-05-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.