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Contact Information

KENNETH C KNEESSY, MD
179 BELLE MEADE ROAD SUITE 1
EAST SETAUKET, NY11733
 Phone: 631-751-4400
 Fax: 631-689-2375
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
 

Surgery of the Hand

2082S0105X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for KENNETH C KNEESSY · (Male)

NPI Number 1851407274
Status Active
Credentials MD
Entity Individual
Enumeration date 08/21/2006
Last updated 02/06/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 1957731
  • NY Medicaid 02117155
Hospital affiliation(s)
  • BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER - (Acute Care)
    101 HOSPITAL ROAD
    PATCHOGUE, NY 11772
  • JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON - (Acute Care)
    75 NORTH COUNTRY ROAD
    PORT JEFFERSON, NY 11777
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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