NPI 1083075212

Kenneth Ihenetu, PHDDABCCFACB

Practitioner Clinical Laboratory Director (Non-physician) Delmar, NY

Practice location

Address: 785 Delaware Ave Fl 1, Delmar, NY 12054-9713
Phone: (361) 944-9554
Mailing address: 785 Delaware Ave, Fl1, Delmar, NY 12054

Registered specialties

Clinical Laboratory Director (Non-physician) Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247ZC0005X Licence IHENK1 (NY)

Other Technician, Pathology providers in New York →

Registry record

NPI: 1083075212
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Mar 2016
Record last updated: 16 Mar 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.