Individual
KENNETH SHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1468 MADISON AVE BLDG 4TH, NEW YORK, NY 10029-6508
(212) 659-8559
Mailing address
333 SCHERMERHORN ST APT 45J, BROOKLYN, NY 11217-3896
(908) 256-1622
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
312636-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2018
Last updated
06/23/2024
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