Individual
KENNETH J HIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1991 MARCUS AVE, NEW HYDE PARK, NY 11042
(516) 354-1600
(516) 941-4672
Mailing address
55 WATER ST, 2ND FLOOR CRED DEPT, NEW YORK, NY 10041-0004
(646) 680-2888
(516) 542-5556
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
150046
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01723739
—
NY
Enumeration date
06/10/2006
Last updated
09/12/2019
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