Individual
MCKIRVEN CEUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
162 E ROUTE 59, NANUET, NY 10954-2910
(845) 579-2700
(845) 259-1904
Mailing address
162 E ROUTE 59, NANUET, NY 10954-2910
(845) 579-2700
(845) 259-1904
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
293059
NY
Other
Enumeration date
04/14/2014
Last updated
03/07/2025
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