Individual
KETSIA DORCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 526-4887
Mailing address
66 POWERHOUSE RD, FL 3, ROSLYN HTS, NY 11577-1324
(516) 626-6366
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
206346
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01768547
—
NY
Enumeration date
06/27/2005
Last updated
07/08/2007
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