Individual
DR. MARK ANTHONY ILKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 NORTH ST STE 203, GENEVA, NY 14456-1561
(615) 787-5383
Mailing address
750 E ADAMS ST, SYRACUSE, NY 13210-2342
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
290944-1
NY
Other
Enumeration date
06/13/2011
Last updated
03/28/2018
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