Master, Kenneth V.

Master, Kenneth V. is an individual health care provider with primary practice located at 1045 James St , Syracuse NY 13203-2730. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Geriatric Psychiatry is his primary health care specialty. Master, Kenneth V. can be contacted via phone (315) 472-4471.

Contact Information

Primary practice address
1045 James St Syracuse NY 13203-2730
Phone: (315) 472-4471
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD047765L Pennsylvania
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 25MA06269400 New Jersey

Profile Details

NPI number 1659317949
LBN Legal business name Master, Kenneth V.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Sep 29th, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659317949 NPPES
New Jersey MEDICAID 6917007

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