| Mark K Hirko, MD | |
|
21 Reade Pl Ste 3100, Poughkeepsie, NY 12601 | |
| (845) 214-1800 | |
| Not Available |
| Full Name | Mark K Hirko |
|---|---|
| Gender | Male |
| Speciality | Surgery - Vascular Surgery |
| Location | 21 Reade Pl Ste 3100, Poughkeepsie, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023085107 | NPI | - | NPPES |
| 0368954 | Medicaid | NJ | |
| 04773300 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 288898 (New York) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | 288898 (New York) | Primary |
| Entity Name | Nuvance Health Medical Practice, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437358033 PECOS PAC ID: 1658468442 Enrollment ID: O20071025000436 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark K Hirko, MD 1351 Route 55 Ste 200, Lagrangeville, NY 12540-5144 Ph: (845) 475-9661 | Mark K Hirko, MD 21 Reade Pl Ste 3100, Poughkeepsie, NY 12601 Ph: (845) 214-1800 |
Cheng Ng, MD Surgery Medicare: Medicare Enrolled Practice Location: 45 Reade Pl, Poughkeepsie, NY 12601 Phone: 845-790-1317 | |
Dr. Joseph J Fulton, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 241 North Rd, Poughkeepsie, NY 12601 Phone: 845-483-5934 | |
Gabi Barmettler, MD Surgery Medicare: Medicare Enrolled Practice Location: 21 Reade Pl Ste 2100, Poughkeepsie, NY 12601 Phone: 845-214-1840 | |
Dr. Michael Llewellyn Ormont, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 21 Fox St Ste 104, Poughkeepsie, NY 12601 Phone: 845-431-2400 | |
Susan K Boolbol, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 45 Reade Pl, Poughkeepsie, NY 12601 Phone: 845-214-1837 | |
Dr. Mitchell Chaar, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 241 North Rd, Poughkeepsie, NY 12601 Phone: 845-431-8238 Fax: 845-483-5807 |