Subin, Kenneth Paul
Subin, Kenneth Paul is an individual health care provider with primary practice located at 16 Brentwood Dr , Ithaca NY 14850. He recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as his primary health care specialty. Subin, Kenneth Paul can be contacted via phone (607) 339-0680.Contact Information
Primary practice address
16 Brentwood Dr
Ithaca NY 14850
Phone: (607) 339-0680
Fax: (607) 319-5532
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | 244080 | New York |
Profile Details
| NPI number | 1144333170 |
|---|---|
| LBN Legal business name | Subin, Kenneth Paul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2006 |
| Last updated | Aug 14th, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144333170 | NPPES |
| New York | MEDICAID | 03168114 |
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