Individual
DR. KEVIN DAVID HAUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4321
Mailing address
549 E 234TH ST, APT 4C, BRONX, NY 10470-2454
(570) 335-7769
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
274912
NY
Other
Enumeration date
07/05/2011
Last updated
09/14/2022
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