National Provider Identifier
Mark Dirlam, PT, DPT
Mark Dirlam, PT, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Kenmore, NY and a listed phone number of (716) 873-9154.
Profile Overview
- NPI
- 1497028229
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- February 09, 2012
- Last Updated
- February 09, 2012
Practice Location
- 2438 Elmwood Ave
- Kenmore, NY 14217-2244
Phone: (716) 873-9154
Mailing Address
- 206 Hendricks Blvd
- Eggertsville, NY 14226-3301
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1497028229
- Entity Type
- Individual
- Last Name
- Dirlam
- First Name
- Mark
- Credential
- PT, DPT
- Mailing Street Address
- 206 Hendricks Blvd
- Mailing City
- Eggertsville
- Mailing State
- NY
- Mailing ZIP Code
- 14226-3301
- Mailing Country
- US
- Mailing Phone
- (716) 343-5157
- Practice Street Address
- 2438 Elmwood Ave
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217-2244
- Practice Country
- US
- Practice Phone
- (716) 873-9154
- Enumeration Date
- February 09, 2012
- Last Updated
- February 09, 2012
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)