Provider Demographics
NPI:1336502954
Name:KENT, ILAN (MD)
Entity Type:Individual
Prefix:DR
First Name:ILAN
Middle Name:
Last Name:KENT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 LEVITAN ST.
Mailing Address - Street 2:APT. #28
Mailing Address - City:TEL AVIV
Mailing Address - State:ISRAEL
Mailing Address - Zip Code:6920410
Mailing Address - Country:IL
Mailing Address - Phone:97250-798-7000
Mailing Address - Fax:
Practice Address - Street 1:5 E 98TH ST # 1259
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6501
Practice Address - Country:US
Practice Address - Phone:212-241-5972
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-31
Last Update Date:2016-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program