Gregory G Kenien in Fayetteville - Cardiovascular Disease

Gregory G Kenien - NPI 1770582843

Gregory G Kenien is a Cardiovascular Disease in Fayetteville, New York. Gregory G Kenien practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Gregory G Kenien is 1770582843. The last update date is 2019-09-27.

Gregory G Kenien's current location address is 510 Towne Dr, Fayetteville, New York. You can contact this provider via phone number 3156630500 and fax number 3156630514. The mailing address for Gregory G Kenien is 510 Towne Dr, Fayetteville, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Gregory G Kenien
Address 510 Towne Dr, Fayetteville, New York
Phone Number 3156630500
Fax Number 3156630514
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1770582843
Provider Enumeration Date 2005-07-20
Last Updated Date 2019-09-27

Provider Mailing Address Detail

Address 510 Towne Dr
City Fayetteville
State New York (NY)
Post Code 130661331
Phone Number 3156630500
Fax Number 3156630514

Provider's Primary Taxonomy Detail

Speciality Cardiovascular Disease
Taxonomy 207Rc0000X
Licence No 168165
Definition:
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
984932 NY --

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FAQs about Gregory G Kenien

What is the unique identifier code issued to Gregory G Kenien by the Centers for Medicare & Medicaid Services?

The Gregory G Kenien has been assigned the NPI (National Provider Identifier) 1770582843. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Gregory G Kenien is geographically located?

The Gregory G Kenien is physically situated at the following location: 510 Towne Dr, Fayetteville, NY, 130661331.

What is Gregory G Kenien's specialized field of practice, and what is the corresponding taxonomy classification code?

The Gregory G Kenien's area of specialization is Cardiovascular Disease, and the corresponding taxonomy code that categorizes this field of practice is 207Rc0000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1770582843 to Gregory G Kenien?

The Centers for Medicare & Medicaid Services assigned the 1770582843 to Gregory G Kenien on 2005-07-20.

As of what date were the details pertaining to Gregory G Kenien last refreshed?

The information related to the Gregory G Kenien, including its address, specialty, and other relevant details, was last updated on 2019-09-27.

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