Individual
KEVIN MATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
424 E 89TH ST, NEW YORK, NY 10128-6703
(212) 410-5100
(212) 410-2500
Mailing address
10 EXCHANGE PL, 14TH FLOOR, JERSEY CITY, NJ 07302-3918
(201) 830-3200
(201) 200-0838
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
179314
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01485249
—
NY
Enumeration date
06/08/2006
Last updated
04/14/2021
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