Individual
DR. KENNETH CHARLES NISCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
118 NORTH BEDFORD ROAD, SUITE 200, MT. KISCO, NY 10549-2555
(800) 362-6220
Mailing address
609 JEFFERSON ST., APT. 3C, HOBOKEN, NJ 07030
(908) 917-7838
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
244447
NY
Other
Enumeration date
05/26/2009
Last updated
05/26/2009
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