Pollack, Kenneth L.

Pollack, Kenneth L. is an individual health care provider with primary practice located at 23 E Park Ave , Long Beach NY 11561-3597. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Pollack, Kenneth L. can be contacted via phone (516) 431-4422.

Contact Information

Primary practice address
23 E Park Ave Long Beach NY 11561-3597
Phone: (516) 431-4422
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 24451 New York

Profile Details

NPI number 1215119391
LBN Legal business name Pollack, Kenneth L.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2007
Last updated Nov 30th, 2007 - about 18 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 1215119391 NPPES
New York MEDICAID 00377959

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