Lerrick, Kenneth S

Lerrick, Kenneth S is an individual health care provider with primary practice located at 13916 91St Ave , Jamaica NY 11435-4219. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Lerrick, Kenneth S can be contacted via phone (718) 989-5550.

Contact Information

Primary practice address
13916 91St Ave Jamaica NY 11435-4219
Fax: (718) 454-8906
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 159865 New York

Profile Details

NPI number 1588621395
LBN Legal business name Lerrick, Kenneth S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Feb 18th, 2014 - about 10 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 1588621395 NPPES
New York MEDICAID 01049105

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