Pickover, Kenneth Howard

Pickover, Kenneth Howard is an individual health care provider with primary practice located at 59 Revere St Suite A, Staten Island NY 10301-3415. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Pickover, Kenneth Howard can be contacted via phone (718) 556-3900.

Contact Information

Primary practice address
59 Revere St Suite A Staten Island NY 10301-3415
Phone: (718) 556-3900
Fax: (718) 273-3592
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 164175 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 164175 New York

Profile Details

NPI number 1528055076
LBN Legal business name Pickover, Kenneth Howard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Feb 21st, 2008 - about 18 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 1528055076 NPPES
New York MEDICAID 01087645

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