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Contact Information

KENNY LIEN, MD
75 N COUNTRY ROAD
PORT JEFFERSON, NY11777
 Phone: 631-476-2767
 Fax: 631-473-0132
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for KENNY LIEN · (Male)

NPI # 1780858860
Status Active
Credentials MD
Entity Individual
Enumeration date 04/18/2008
Last updated 08/31/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 261820-I
  • NY Other 261820-1 NEW YORK STATE LICENSE
Hospital affiliation(s)
  • JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON - (Acute Care)
    75 NORTH COUNTRY ROAD
    PORT JEFFERSON, NY 11777
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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