Organization · Type 2 NPI

Kenneth Mark MD PC

MOHS-Micrographic Surgery Physician · Southampton, NY

NPI number 1992982748 Active

Practice location

425 County Road 39A Ste 201
Southampton, NY 11968-5246

Fax (631) 283-1932

Mailing address

PO Box 175
Water Mill, NY 11976-0175

Other practice locations

  • 200 Pantigo Pl Ste N, East Hampton, NY 11937-5923 · (631) 283-0292
  • 155 Spring St Fl 4, New York, NY 10012-5208 · (631) 283-0292

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician 207N00000X204164 (NY)
MOHS-Micrographic Surgery Physician Primary 207ND0101X204164 (NY)
Procedural Dermatology Physician 207NS0135X204164 (NY)

MOHS-Micrographic Surgery Physician: The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one…

About NPI 1992982748

Kenneth Mark MD PC's National Provider Identifier is 1992982748, issued on Jan 23, 2008. The primary taxonomy on file is MOHS-Micrographic Surgery Physician (207ND0101X), and the practice location is in Southampton, NY. The record was last updated on May 26, 2026.