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Contact Information

KENNETH R KETAY, DMD
509 MADISON AVE
STE 1704
NEW YORK, NY10022
 Phone: 212-688-3255
 Fax: 212-758-9132
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for KENNETH R KETAY · (Male)

NPI # 1023097110
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 01/17/2006
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 29908
Hospital affiliation(s) Not Available
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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