# DENNIS M KESDEN MD & SHERRY H KESDEN MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275695223
- **Authorized official:** DENNIS M KESDEN MD (DOCTOR OWNER)
- **Authorized official phone:** (516) 798-1411

## Contact information

- **Practice address:** 649 BROADWAY, MASSAPEQUA, NY 11758-2313
- **Practice address phone:** (516) 798-1411
- **Practice address fax:** (516) 798-0362
- **Mailing address:** 649 BROADWAY, MASSAPEQUA, NY 11758-2313
- **Mailing address phone:** (516) 798-1411
- **Mailing address fax:** (516) 798-0362

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/15/2006
- **Last updated:** 03/30/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1275695223 | GROUP NPI | NY |
