Individual
KENNETH COX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
497 ROCKAWAY AVE, VALLEY STREAM, NY 11581-1909
(917) 648-8864
Mailing address
3611 AVENUE D, BROOKLYN, NY 11203-5632
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
731052-01
NY
Other
Enumeration date
11/18/2025
Last updated
11/21/2025
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