Brock, Kenneth M
Brock, Kenneth M is an individual health care provider with primary practice located at 19 The Pines , Old Westbury NY 11568-1126. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Brock, Kenneth M can be contacted via phone (516) 633-1436.Contact Information
Primary practice address
19 The Pines
Old Westbury NY 11568-1126
Phone: (516) 633-1436
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 330543 | New York |
Profile Details
| NPI number | 1861856080 |
|---|---|
| LBN Legal business name | Brock, Kenneth M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2016 |
| Last updated | Jul 16th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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