Individual
KENNETH ENG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
530 1ST AVE, HCC 6B, NEW YORK, NY 10016-6402
(212) 263-7301
Mailing address
530 1ST AVE, HCC 6B, NEW YORK, NY 10016-6402
(212) 263-7301
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
102176
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01458997
—
NY
Enumeration date
09/07/2005
Last updated
07/08/2007
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