Healthcare Provider Details

I. General information

NPI: 1508992421
Provider Name (Legal Business Name): KENNETH STROBEL P.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 02/26/2026
Certification Date: 02/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

833 NORTHERN BLVD STE 160
GREAT NECK NY
11021-5322
US

IV. Provider business mailing address

833 NORTHERN BLVD STE 160
GREAT NECK NY
11021-5322
US

V. Phone/Fax

Practice location:
  • Phone: 516-498-8400
  • Fax: 516-498-8404
Mailing address:
  • Phone: 516-498-8400
  • Fax: 516-498-8404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number006769
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: