Individual
DR. KEITH ALAN KUENZLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
530 1ST AVE, SUITE 10W, NEW YORK, NY 10016-6402
(212) 263-7391
(212) 263-6590
Mailing address
530 1ST AVE, SUITE 10W, NEW YORK, NY 10016-6402
(212) 263-7391
(212) 263-6590
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
231860
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02797822
—
NY
Enumeration date
08/23/2006
Last updated
03/25/2021
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