Individual
DR. KENNETH PAUL WANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
27110 GRAND CENTRAL PKWY 6U, FLORAL PARK, NY 11005-1206
(718) 229-3326
Mailing address
27110 GRAND CENTRAL PKWY 6U, FLORAL PARK, NY 11005-1206
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X4192
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CO-4192-3
WORKERS COMPENSATION NUMB
NY
Enumeration date
04/18/2007
Last updated
07/08/2007
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