Kinon, Merritt Drew

Kinon, Merritt Drew is an individual health care provider with primary practice located at 111 E 210Th St , Bronx NY 10467. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Kinon, Merritt Drew can be contacted via phone (718) 920-7400.

Contact Information

Primary practice address
111 E 210Th St Bronx NY 10467
Phone: (718) 920-7400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 253201 New York

Profile Details

NPI number 1063709574
LBN Legal business name Kinon, Merritt Drew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2011
Last updated Oct 29th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063709574 NPPES
New York Other MEDICAID 04230599

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