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Kenny Lien, MD
Student in an Organized Health Care Education/Training Program in Port Jefferson, New York
NPI 1780858860

Kenny Lien is a Student in an Organized Health Care Education/Training Program based in Port Jefferson, NY. Kenny Lien practices in Port Jefferson, NY and has the professional credentials of MD. The NPI Number for Kenny Lien is 1780858860 and holds a License No. 261820-I (New York).

The current practice location address for Kenny Lien is 75 N Country Road, Port Jefferson, NY and can be reached out via phone at 631-476-2767 and via fax at 631-473-0132. You can also correspond with Kenny Lien through the mailing address at 75 N COUNTRY ROAD, PORT JEFFERSON, NY - 11777 (mailing address contact number: 631-476-2767).

Location: 75 N Country Road, Port Jefferson, NY, 11777
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780858860
Provider Name
Kenny Lien
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
75 N Country Road, Port Jefferson, NY, 11777
Phone Number
631-476-2767
Fax Number
631-473-0132
Provider Enumeration Date
04/18/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
261820-1 01 NY NEW YORK STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
75 N Country Road
City
Port Jefferson
State
New York
Zip
11777
Phone Number
631-476-2767
Fax Number
631-473-0132
person
Provider Business Mailing Address Details
Address
75 N Country Road
City
Port Jefferson
State
New York
Zip
11777
Phone Number
631-476-2767
Fax Number
631-473-0132
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
()
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
261820-I (New York)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
261820-I (New York)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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