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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1568041143

Kenneth Andrew Pessino, MD is a Student in an Organized Health Care Education/Training Program in New Hyde Park, New York. Registered with an NPI since 2021.

In the registry since
2021
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

27005 76th Ave Bldg C
New Hyde Park, NY 11040-1402
Phone: (718) 470-4475
Fax: (718) 962-2239
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1568041143
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 2, 2021
Last updated in NPPESApril 2, 2021
Certification dateApril 2, 2021

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