Individual provider · Type 1 NPI
Kenneth M. Brock, MD
Diagnostic Radiology Physician · Old Westbury, NY
NPI number
1861856080
Active
Practice location
19 The Pines
Old Westbury, NY 11568-1126
Mailing address
215 8th St Apt 3
Jersey City, NJ 07302-2093
Other practice locations
- 255 W Lancaster Ave, Paoli, PA 19301-1763 · (484) 337-1644
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD497506 (PA) |
| Diagnostic Radiology Physician Primary | 2085R0202X | 330543 (NY) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Another provider at this address
About NPI 1861856080
Kenneth M. Brock, MD's National Provider Identifier is 1861856080, issued on Apr 13, 2016. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Old Westbury, NY. The record was last updated on Oct 5, 2026.