Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kenneth Howard Pickover, MD

Individual provider Addiction Medicine (Internal Medicine) Physician · NPI 1528055076

Dr. Kenneth Howard Pickover, MD is an Addiction Medicine (Internal Medicine) Physician in Staten Island, New York. Licensed in New York. Registered with an NPI since 2005.

Licensed in
NY
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

59 Revere St Ste A
Staten Island, NY 10301-3415
Phone: (718) 556-3900
Fax: (718) 273-3592
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 164175 (NY)
Addiction Medicine (Internal Medicine) Physician Taxonomy 207RA0401X · Licence 164175 (NY)

Record details

NPI number1528055076
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 30, 2005
Last updated in NPPESFebruary 21, 2008

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