Individual
KEVIN KRESOFSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2201 HEMPSTEAD TPKE, EAST MEADOW, NY 11554-1859
(516) 572-0123
Mailing address
13 ADAMS ST N, FARMINGDALE, NY 11735
(516) 695-6123
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
330336
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/09/2016
Last updated
09/17/2024
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