Lerrick, Kenneth S
Lerrick, Kenneth S is an individual health care provider with primary practice located at 13916 91St Ave , Jamaica NY 11435-4219. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Lerrick, Kenneth S can be contacted via phone (718) 989-5550.Contact Information
Primary practice address
13916 91St Ave
Jamaica NY 11435-4219
Phone: (718) 989-5550
Fax: (718) 454-8906
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 159865 | New York |
Profile Details
| NPI number | 1588621395 |
|---|---|
| LBN Legal business name | Lerrick, Kenneth S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Feb 18th, 2014 - about 12 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588621395 | NPPES |
| New York | MEDICAID | 01049105 |
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