Provider Demographics
NPI:1992810469
Name:KENET, BARNEY J (MD)
Entity type:Individual
Prefix:
First Name:BARNEY
Middle Name:J
Last Name:KENET
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 E 86TH ST
Mailing Address - Street 2:GROUND FLOOR LOBBY
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-0553
Mailing Address - Country:US
Mailing Address - Phone:212-535-9753
Mailing Address - Fax:
Practice Address - Street 1:25 E 86TH ST
Practice Address - Street 2:GROUND FLOOR LOBBY
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-0553
Practice Address - Country:US
Practice Address - Phone:212-535-9753
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY179270174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYF29435Medicare UPIN