KENNETH M BROCK M.D.
Individual Provider (NPI-1)
Active
Radiology, Diagnostic Radiology
Provider Information
- NPI Number
1861856080- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 19 THE PINES, OLD WESTBURY, NY, 115681126
- Phone
- (516) 633-1436
Specialties & Taxonomies
Radiology, Diagnostic Radiology
Primary License: NY #330543