National Provider Identifier
Kenneth Paul Subin, M.D.
Kenneth Paul Subin, M.D. is listed in the NPPES registry with a primary specialty of Occupational Medicine Physician in Ithaca, NY and a listed phone number of (607) 339-0680.
Profile Overview
- NPI
- 1144333170
- Provider Type
- Individual
- Primary Specialty
- Occupational Medicine Physician
- Enumeration Date
- August 16, 2006
- Last Updated
- August 14, 2018
Practice Location
- 16 Brentwood Dr
- Ithaca, NY 14850
Phone: (607) 339-0680
Mailing Address
- 1301 Trumansburg RD Ste P
- Ithaca, NY 14850-1397
Specialties
- Occupational Medicine Physician (2083X0100X)
Full Record
- NPI
- 1144333170
- Entity Type
- Individual
- Last Name
- Subin
- First Name
- Kenneth
- Middle Name
- Paul
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 1301 Trumansburg RD Ste P
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-1397
- Mailing Country
- US
- Mailing Phone
- (607) 277-2365
- Mailing Fax
- (607) 277-1415
- Practice Street Address
- 16 Brentwood Dr
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850
- Practice Country
- US
- Practice Phone
- (607) 339-0680
- Practice Fax
- (607) 319-5532
- Enumeration Date
- August 16, 2006
- Last Updated
- August 14, 2018
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Medicine Physician (2083X0100X)
- Other Identifiers
- 03168114 (NY)