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Organization
GENNADIY KVETNY PHYSICIAN, PC
Active
Organization
GENNADIY KVETNY PHYSICIAN, PC
Active
Other names
none
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GENNADIY KVETNY MD (PHYSICIAN)
(718) 894-4200
Entity
Organization
Contact information
Practice address
7554 METROPOLITAN AVE, MIDDLE VILLAGE, NY 11379-2639
(718) 894-4200
(718) 894-3900
Mailing address
7554 METROPOLITAN AVE, MIDDLE VILLAGE, NY 11379-2639
(718) 894-4200
(718) 894-3900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
208977
NY
Other
Enumeration date
06/13/2007
Last updated
04/06/2010
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