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Individual

KENNETH R EINBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4250 HEMPSTEAD TPKE, SUITE 21, BETHPAGE, NY 11714-5716
(516) 520-3962
(516) 520-3792
Mailing address
4250 HEMPSTEAD TPKE, SUITE 21, BETHPAGE, NY 11714-5716
(516) 520-3962
(516) 520-3792

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
162716
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01241932
NY
Enumeration date
01/22/2007
Last updated
10/15/2010
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