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Individual

KENNETH CHAO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1530 FRONT ST, EAST MEADOW, NY 11554-2265
(516) 520-3053
(929) 455-9653
Mailing address
880 N BROADWAY, MASSAPEQUA, NY 11758-2351
(516) 541-0300

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
227038
NY
2084N0400X
Neurology Physician
Primary
227038
NY

Other

Enumeration date
02/24/2006
Last updated
07/07/2021
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