Samuel Kenan,Md.,P.C

LBN: Samuel Kenan,Md.,P.C
Samuel Kenan,Md.,P.C is an health care organization with primary practice located at 300 Old Country Rd Suite221, Mineola NY 11501-4198. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Samuel Kenan,Md.,P.C can be contacted via phone (516) 280-3733, or through Kenan, Samuel via phone (516) 280-3733.

Contact Information

Primary practice address
300 Old Country Rd Suite221 Mineola NY 11501-4198
Phone: (516) 280-3733
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kenan, Samuel Doctor of Medicine (MD)
Phone: (516) 280-3733

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 181971 New York

Profile Details

NPI number 1659516284
LBN Legal business name Samuel Kenan,Md.,P.C
DBA Doing business as
Authorized official Kenan, Samuel Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2008
Last updated Dec 11th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659516284 NPPES
New York MEDICAID 01209663

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