Individual
KENNETH MROCZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
530 FIRST AVENUE, 5 D, NEW YORK, NY 10016
(212) 263-3491
Mailing address
530 FIRST AVENUE, 5 D, NEW YORK, NY 10016
(212) 263-3491
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
210377
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02168707
—
NY
Enumeration date
09/21/2005
Last updated
03/08/2021
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