Individual
KENNETH WOOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
256 MASON AVE, STATEN ISLAND, NY 10305-3408
(718) 226-5921
(718) 226-6531
Mailing address
1 EDGEWATER ST, STE 723, STATEN ISLAND, NY 10305-4900
(718) 226-1047
(718) 226-1039
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
128382
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00257754
—
NY
Enumeration date
12/12/2006
Last updated
07/09/2007
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