Individual
MARK K HIRKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21 READE PL STE 3100, POUGHKEEPSIE, NY 12601
(845) 214-1800
Mailing address
1351 ROUTE 55 STE 200, LAGRANGEVILLE, NY 12540-5144
(845) 475-9661
(845) 475-9938
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
288898
NY
2086S0129X
Vascular Surgery Physician
Primary
288898
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0368954
—
NJ
05
—
04773300
—
NY
Enumeration date
03/07/2006
Last updated
06/26/2018
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