Kenneth M Brock, MD is a
Radiology - Diagnostic Radiology physician based in Old Westbury, New York. Kenneth M Brock is licensed to practice in New York (license number 330543) and his current practice location is 19 The Pines, Old Westbury, New York. He can be reached at his office (for appointments etc.) via phone at
(516) 633-1436.
NPI number for Kenneth M Brock is 1861856080 and his current mailing address is 215 8th St Apt 3, Jersey City, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1861856080.
Physician's Profile
Full Name | Kenneth M Brock |
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Gender | Male |
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Speciality | Radiology - Diagnostic Radiology |
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Location | 19 The Pines, Old Westbury, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1861856080
- Provider Enumeration Date: 04/13/2016
- Last Update Date: 07/16/2024
Medical Identifiers
Medical identifiers for Kenneth M Brock such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861856080 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | 330543 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kenneth M Brock is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kenneth M Brock, MD 215 8th St Apt 3, Jersey City, NJ 07302-2093 Ph: (631) 942-9869 | Kenneth M Brock, MD 19 The Pines, Old Westbury, NY 11568-1126 Ph: (516) 633-1436 |
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