MEDICARE: DR. MARK B IRWIN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician	1685650	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508860263
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK B IRWIN M.D.

Provider Business Mailing Address
First Line	:	359 CLINTON ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11231-3701
Country	:	US
Telephone Number	:	646-460-1479
Fax Number	:	718-875-7864

Provider Business Practice Location Address
First Line	:	359 CLINTON ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11231-3701
Country	:	US
Telephone Number	:	646-460-1479
Fax Number	:	718-875-7864

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2005
Last Update Date	:	04/19/2017

Similar Medicare Providers

1174537583 — DR. ERIC KENWORTHY MD
Practice Location Address:

359 CLINTON ST
BROOKLYN, NY
11231-3701

Practice Phone: 718-875-3070
Practice Fax: 718-875-7864

1922199181 — FIDUCIA MEDICAL PC
Practice Location Address:

359 CLINTON ST
BROOKLYN, NY
11231-3701

Practice Phone: 718-875-3070
Practice Fax: 718-875-7864

1326546292 — KAREN CABALLERO TAYEH MS, RDN
Practice Location Address:

351 CLINTON ST
BROOKLYN, NY
11231-3701

Practice Phone: 718-852-6430
Practice Fax:

1811744584 — POM HEALTH, INC.
Practice Location Address:

335 CLINTON ST FL 3
BROOKLYN, NY
11231-3701

Practice Phone: 917-409-6348
Practice Fax:

1538153366 — JAMES J LOMBARDO M.D.
Practice Location Address:

7801 4TH AVE
BROOKLYN, NY
11209-3701

Practice Phone: 718-836-6661
Practice Fax:

1538141296 — DR. JOVIN C LOMBARDO M.D.
Practice Location Address:

7801 4TH AVE
BROOKLYN, NY
11209-3701

Practice Phone: 718-836-6661
Practice Fax: 718-836-0801

Directions to “ DR. MARK B IRWIN M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.