Individual
KENNETH SUTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
462 1ST AVE, ROOM 11N34, NEW YORK, NY 10016-9196
(212) 562-6571
(211) 226-3874
Mailing address
462 1ST AVE, ROOM 11N34, NEW YORK, NY 10016-9196
(212) 562-6571
(211) 226-3874
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
178454
NY
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
178454
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01953713
—
NY
Enumeration date
09/14/2005
Last updated
09/11/2025
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