Dr. Kenneth E Ezimoha, MD
Dr. Kenneth E Ezimoha, MD is an Internal Medicine in Whitestone, New York. Qualified in 2004, 22 years ago. Practices with Mill Basin Medical Health PC, a 101-clinician group and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 22
- Licensed in
- NY
- In the registry since
- 2025
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
15715 19th AveWhitestone, NY 11357-3820
Phone: (718) 746-0408
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence P135556 (NY) |
|---|
Record details
| NPI number | 1760377071 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | June 9, 2025 |
| Last updated in NPPES | June 23, 2025 |
| Certification date | June 23, 2025 |
| Mailing address | 15715 19th Ave, Whitestone, NY 11357-3820 |
Medicare enrollment
| Medicare specialty | INTERNAL MEDICINE |
|---|---|
| Medical school | OTHER |
| Graduated | 2004 (22 years in practice) |
| Group practice | Mill Basin Medical Health Pc — 101 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Whitestone
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Ayman Z Attia-Alla, MD
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Joseph L. Mollura, MD, FACP, PC
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Medhat F Sami MD PC
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New York Internal Medicine, PC
1752 Francis Lewis Blvd, Whitestone, NY 11357-3247 · (718) 746-9494