Dermatology, MOHS-Micrographic Surgery
KENNETH MARK MD PC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1992982748 · enumerated 2008-01-23 · record updated 2026-05-26. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Dr. KENNETH MARK MD, Physician · (631) 283-0002
Addresses and phones
- Mailing address PO BOX 175, WATER MILL, NY, 11976-0175 (631) 283-0002 Fax (631) 283-1932 Google Maps Apple Maps OpenStreetMap
- Practice location 425 COUNTY ROAD 39A STE 201, SOUTHAMPTON, NY, 11968-5246 (631) 283-0002 Fax (631) 283-1932 Google Maps Apple Maps OpenStreetMap
Specialties
- Dermatology 207N00000X · License 204164 NY
- Dermatology, Procedural Dermatology 207NS0135X · License 204164 NY
- Dermatology, MOHS-Micrographic Surgery 207ND0101X · Primary · License 204164 NY
In this directory
NY Suffolk County Southampton Dermatology, MOHS-Micrographic Surgery
Locations and evidence
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Practice location
SOUTHAMPTON, NY, 119685246
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.