National Provider Identifier
Mark S Burke, MD
Mark S Burke, MD is listed in the NPPES registry with a primary specialty of Plastic and Reconstructive Surgery Physician in Buffalo, NY and a listed phone number of (716) 898-3073.
Profile Overview
- NPI
- 1730341074
- Provider Type
- Individual
- Primary Specialty
- Plastic and Reconstructive Surgery Physician
- Enumeration Date
- June 27, 2008
- Last Updated
- May 18, 2022
Practice Location
- 462 Grider St
- Buffalo, NY 14215-3098
Phone: (716) 898-3073
Mailing Address
- 462 Grider St
- Buffalo, NY 14215-3021
Specialties
- Plastic and Reconstructive Surgery Physician (2086S0122X)
- Surgery Physician (208600000X)
Full Record
- NPI
- 1730341074
- Entity Type
- Individual
- Last Name
- Burke
- First Name
- Mark
- Middle Name
- S
- Credential
- MD
- Mailing Street Address
- 462 Grider St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14215-3021
- Mailing Country
- US
- Mailing Phone
- (716) 898-3073
- Mailing Fax
- (716) 898-5587
- Practice Street Address
- 462 Grider St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-3098
- Practice Country
- US
- Practice Phone
- (716) 898-3073
- Enumeration Date
- June 27, 2008
- Last Updated
- May 18, 2022
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- May 18, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Plastic and Reconstructive Surgery Physician (2086S0122X), Surgery Physician (208600000X)
- Other Identifiers
- 03229334 (NY)