Niles, Kenneth Robert

Niles, Kenneth Robert is an individual health care provider with primary practice located at 109 Crocus Ave , Floral Park NY 11001-2637. He recently has only one registered license in Pharmacy Service Providers / Geriatric, which is considered as his primary health care specialty. Niles, Kenneth Robert can be contacted via phone (516) 775-5138.

Contact Information

Primary practice address
109 Crocus Ave Floral Park NY 11001-2637
Phone: (516) 775-5138
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Geriatric 1835G0303X 0433351 New York

Profile Details

NPI number 1912149634
LBN Legal business name Niles, Kenneth Robert
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2009
Last updated Mar 26th, 2009 - about 15 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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