Individual
DR. KENNETH BARRY SVENSSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
46 N BROADWAY, NYACK, NY 10960-2623
(845) 353-0202
(845) 353-3819
Mailing address
46 N BROADWAY, NYACK, NY 10960-2623
(845) 353-0202
(845) 353-3819
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
167688
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01186561
—
NY
Enumeration date
08/29/2006
Last updated
07/08/2007
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