Individual
KENNETH NOAH GIEDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
332 E 14TH ST, NEW YORK, NY 10003-4243
(212) 481-3333
Mailing address
455 E 51ST ST # 2C, NEW YORK, NY 10022-6474
(212) 969-9284
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
183525
NY
207U00000X
Nuclear Medicine Physician
183525
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01450577
—
NY
Enumeration date
01/31/2006
Last updated
06/12/2020
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