Individual
SAMUEL KENAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
317 E 34TH ST, NYC, NY 10016-4974
(212) 684-5511
(212) 684-6611
Mailing address
16 OLD SEARINGTOWN RD, ALBERTSON, NY 11507-1532
(516) 248-7756
(212) 684-6611
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
181971
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01209663
—
NY
Enumeration date
08/16/2005
Last updated
11/10/2010
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