Individual
DR. KENNETH ALAN PATICOFF
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1992 DEER PARK AVE, DEER PARK, NY 11729-2701
(631) 667-0004
(631) 667-3388
Mailing address
1992 DEER PARK AVE, DEER PARK, NY 11729-2701
(631) 667-0004
(631) 667-3388
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
043927
NY
Other
Enumeration date
11/25/2005
Last updated
07/08/2007
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