| Kenneth M Brock, MD | |
|
19 The Pines, Old Westbury, NY 11568-1126 | |
| (516) 633-1436 | |
| Not Available |
| Full Name | Kenneth M Brock |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 10 Years |
| Location | 19 The Pines, Old Westbury, New York |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861856080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 330543 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Vassar Brothers Medical Center | Poughkeepsie, NY | Hospital |
| Hackensackumc Mountainside | Montclair, NJ | Hospital |
| Garnet Health Medical Center | Middletown, NY | Hospital |
| St Luke's Cornwall Hospital | Newburgh, NY | Hospital |
| St Mary's Healthcare | Amsterdam, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Millennium Medical Imaging Pc | 5799776910 | 33 |
| Niagara Frontier Radiologic Associates Pc | 0345349387 | 21 |
| Radiology Affiliates Of Central New Jersey Pc | 1759277239 | 117 |
| Sra Medical Imaging Llc | 1759369663 | 38 |
| Empire State Radiology P C | 4385075241 | 263 |
| East Post Road Medical Services Pc | 6406198506 | 411 |
| Coastal Imaging Llc | 8123312055 | 66 |
| Nuvance Health Medical Practice Pc | 1658468442 | 592 |
| Entity Name | Millennium Medical Imaging Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235114182 PECOS PAC ID: 5799776910 Enrollment ID: O20040518001125 |
| 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 |
Dr. Andrei Kranz, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 41 Valley Rd, Old Westbury, NY 11568 Phone: 516-625-8156 Fax: 516-626-6989 |