Kenneth R Ketay DMD

NPI 1023097110 - Dentist - 122300000X

NPI Details
NPI 1023097110
Gender Male
Enumeration Date 01/17/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
509 MADISON AVE
STE 1704
NEW YORK NY, 10022, US
Phone (212) 688-3255
Fax (212) 758-9132
Business Location
509 MADISON AVE
STE 1704
NEW YORK NY, 10022, US
Phone (212) 688-3255
Fax (212) 758-9132
Toxanomy
Taxonomy Code 122300000X
License State New York
License Number 29908
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According to our database, Dr. Kenneth R Ketay DMD NPI is 1023097110, taxonomy code is 122300000X and license number is 29908, license state is located at New York. Kenneth R Ketay DMD physically located at 509 Madison Ave, New York NY, 10022. NPI Number Kenneth R Ketay DMD has the Individual type.

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1023097110 NPI number is provided on an as is basis without warranty of any kind. 1023097110 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth R Ketay DMD are for informational purposes only.