Individual
DR. TODD KERWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
212 JERICHO TPKE, MINEOLA, NY 11501-1613
(516) 663-4480
Mailing address
212 JERICHO TPKE, MINEOLA, NY 11501-1613
(516) 663-4480
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
228491-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02422273
—
NY
Enumeration date
09/20/2005
Last updated
05/11/2026
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