Search › New York › 207Q00000X
Kenrick Waithe
NPI 1861582231 · on the registry since 2006
Practice
- Address
- 1591 Fulton Ave
Bronx, NY 10457 - Phone
- (718) 901-6470
- Fax
- (718) 716-4780
- Organisation at this address
- Bronxcare Dr. Martin Luther King Jr. Health Center
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York