Dr. Kenneth Howard Pickover
Internist Internist - Addiction Medicine
59 Revere St Suite A
Staten Island
, New York 10301-3415
Dr. Kenneth Howard Pickover
Internist Internist - Addiction Medicine
59 Revere St Suite A
Staten Island
, New York 10301-3415
(718) 556-3900
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About
Features
Specialties
- Internist
- Internist - Addiction Medicine
Languages spoken
- English
Location
First Address
- Dr. Kenneth Howard Pickover
- 59 Revere St
- Staten Island, NY
- Zip : 10301-3415
- Phone : (718) 556-3900
Second Address
- Dr. Kenneth Howard Pickover
- 59 Revere St Suite A
- Staten Island, NY
- Zip : 10301-3415
- Fax : (718) 273-3592
- Phone : (718) 556-3900
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Is Dr. Kenneth Howard Pickover a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207R00000X | Internist | 164175 | NY |
| Y | 111NI0900X | Internist | 164175 | NY |
| N | 207RA0401X | Internist - Addiction Medicine | 164175 | NY |
National Provider Identifier
| NPI | 1528055076 |
|---|---|
| Provider Name | Dr. Kenneth Howard Pickover |
| First Address | Staten Island, NY 10301-3415 |
| Second Address | Staten Island, NY 10301-3415 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/09/2005 |
| Last Update Date | 21/02/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01087645 | (05) | NY |
| A61831 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.