Individual
DR. MARK B IRWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
359 CLINTON ST, BROOKLYN, NY 11231-3701
(646) 460-1479
(718) 875-7864
Mailing address
359 CLINTON ST, BROOKLYN, NY 11231-3701
(646) 460-1479
(718) 875-7864
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
1685650
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01128523
—
NY
Enumeration date
06/10/2005
Last updated
04/19/2017
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