Healthcare Provider Details

I. General information

NPI: 1053320499
Provider Name (Legal Business Name): MARK CHARLES DURKIN D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2006
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2655 RIDGEWAY AVE STE 230
ROCHESTER NY
14626-4297
US

IV. Provider business mailing address

5543 COTTONWOOD DR
CONESUS NY
14435-9325
US

V. Phone/Fax

Practice location:
  • Phone: 585-368-6820
  • Fax:
Mailing address:
  • Phone: 585-346-2410
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberN004293-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: