Individual
DR. KEN JIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3495 BAILEY AVE, BUFFALO, NY 14215-1129
(716) 862-8774
Mailing address
3495 CREEKVIEW DR, HAMBURG, NY 14075-3645
(716) 649-8076
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
204972
NY
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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