National Provider Identifier

Mark Anthony Ilko, M.D.

Mark Anthony Ilko, M.D. is listed in the NPPES registry with a primary specialty of Surgery Physician in Geneva, NY and a listed phone number of (615) 787-5383.

NPI 1093000580Geneva, NYSurgery Physician

Profile Overview

NPI
1093000580
Provider Type
Individual
Primary Specialty
Surgery Physician
Enumeration Date
June 13, 2011
Last Updated
March 28, 2018

Practice Location

  • 200 North St Ste 203
  • Geneva, NY 14456-1561

Phone: (615) 787-5383

Mailing Address

  • 750 E Adams St
  • Syracuse, NY 13210-2342

Specialties

  • Surgery Physician (208600000X)
Full Record
NPI
1093000580
Entity Type
Individual
Last Name
Ilko
First Name
Mark
Middle Name
Anthony
Name Prefix
Dr.
Credential
M.D.
Mailing Street Address
750 E Adams St
Mailing City
Syracuse
Mailing State
NY
Mailing ZIP Code
13210-2342
Mailing Country
US
Practice Street Address
200 North St Ste 203
Practice City
Geneva
Practice State
NY
Practice ZIP Code
14456-1561
Practice Country
US
Practice Phone
(615) 787-5383
Enumeration Date
June 13, 2011
Last Updated
March 28, 2018
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Surgery Physician (208600000X)