Individual
DR. KENNETH S AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
327 ROUTE 59, AIRMONT, NY 10952
(845) 356-2900
(845) 356-7797
Mailing address
507 AIRPORT EXECUTIVE PARK, NANUET, NY 10954-5288
(845) 262-5313
(845) 262-5330
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
179160
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01490573
—
NY
01
—
0474841
AETNA HMO#
NY
01
—
0500976
GHI PPO
NY
01
—
0D0561
HEALTHNET
NY
01
—
132721370
TAX ID#
NY
01
—
187196
MVP (MONROE)
NY
01
—
200032198
RAILROAD MEDICARE
NY
01
—
319418
MVP (AIRMONT/STONY POINT)
NY
01
—
4537881
AETNA PPO#
NY
01
—
569G91
EMPIRE BCBS (STONY POINT)
NY
01
—
569G92
EMPIRE BCBS (MONROE)
NY
01
—
569G93
EMPIRE BCBS (AIRMONT)
NY
01
—
RS359
OXFORD
NY
Enumeration date
07/13/2005
Last updated
02/26/2016
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