Individual
KENNETH M POLLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
VASSAR BROTHERS HOSPITAL, 45 READE PL, POUGHKEEPSIE, NY 12601
(914) 493-7124
Mailing address
22 SAW MILL RIVER RD, HAWTHORNE, NY 10532-1533
(914) 593-1729
(914) 593-1790
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
004505
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01984207
—
NY
Enumeration date
04/03/2006
Last updated
07/12/2007
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