MEDICARE: DR. KENNETH S AUSTIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	179160	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
13	200032198	OTHER	NY	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	569G91	OTHER	NY	EMPIRE BCBS (STONY POINT)
2	RS359	OTHER	NY	OXFORD
3	4537881	OTHER	NY	AETNA PPO#
4	569G92	OTHER	NY	EMPIRE BCBS (MONROE)
5	0500976	OTHER	NY	GHI PPO
6	569G93	OTHER	NY	EMPIRE BCBS (AIRMONT)
7	0474841	OTHER	NY	AETNA HMO#
8	319418	OTHER	NY	MVP (AIRMONT/STONY POINT)
9	0D0561	OTHER	NY	HEALTHNET
10	132721370	OTHER	NY	TAX ID#
11	187196	OTHER	NY	MVP (MONROE)
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205834041
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KENNETH S AUSTIN MD

Provider Business Mailing Address
First Line	:	507 AIRPORT EXECUTIVE PARK
Second Line	:
City	:	NANUET
State	:	NY
Zip	:	10954-5288
Country	:	US
Telephone Number	:	845-262-5313
Fax Number	:	845-262-5330

Provider Business Practice Location Address
First Line	:	327 ROUTE 59
Second Line	:
City	:	AIRMONT
State	:	NY
Zip	:	10952
Country	:	US
Telephone Number	:	845-356-2900
Fax Number	:	845-356-7797

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2005
Last Update Date	:	02/26/2016

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