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Individual

DR. HOWARD OWEN KERPEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1575 HILLSIDE AVE, SUITE 102, NEW HYDE PARK, NY 11040-2501
(516) 437-1616
(516) 354-6048
Mailing address
1575 HILLSIDE AVE, SUITE 102, NEW HYDE PARK, NY 11040-2501
(516) 437-1616
(516) 354-6048

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
117070
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
112458161
1199 NATIONAL BENEFIT FUN
NY
01
1226704
UNITED HEALTHCARE
NY
01
2C8018
HEALTHNET
NY
01
340911
EMPIRE BLUE SHIELD
NY
01
3564047001
CIGNA
NY
01
36098
VYTRA
NY
01
4260267
AETNA PPO
NM
01
46600
MDNY
NY
01
880672
AETNA HMO
NY
01
AP434
OXFORD
NY
Enumeration date
06/24/2006
Last updated
05/21/2014
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