Individual
DR. KENNETH MICHAEL TESTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
124 MCCLEAN AVE, STATEN ISLAND, NY 10305-4614
(718) 876-8080
(718) 876-6143
Mailing address
124 MCCLEAN AVE, STATEN ISLAND, NY 10305-4614
(718) 876-8080
(718) 876-6143
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
226616
NY
Other
Enumeration date
06/03/2008
Last updated
06/03/2008
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