Svensson, Kenneth Barry

Svensson, Kenneth Barry is an sole proprietor health care provider with primary practice located at 46 N Broadway , Nyack NY 10960-2623. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Svensson, Kenneth Barry can be contacted via phone (845) 353-0202.

Contact Information

Primary practice address
46 N Broadway Nyack NY 10960-2623
Fax: (845) 353-3819
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 167688 New York

Profile Details

NPI number 1750490314
LBN Legal business name Svensson, Kenneth Barry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2006
Last updated Jul 8th, 2007 - about 17 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 1750490314 NPPES
New York MEDICAID 01186561

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