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Individual

MARK S BURKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
462 GRIDER ST, BUFFALO, NY 14215-3098
(716) 898-3073
Mailing address
462 GRIDER ST, BUFFALO, NY 14215-3021
(716) 898-3073
(716) 898-5587

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
244867
NY
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
244867
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03229334
NY
Enumeration date
06/27/2008
Last updated
05/18/2022
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