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Individual

DR. KENNETH A. EGOL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
240 E 18TH ST, NEW YORK, NY 10003-3605
(212) 598-3889
(212) 598-6015
Mailing address
301 E 17TH ST, NEW YORK, NY 10003-3804
(212) 598-3889
(212) 598-6015

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
199801
NY
207XX0801X
Orthopaedic Trauma Physician
199801
NY

Other

Enumeration date
03/14/2006
Last updated
03/26/2021
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