Individual
ALEXANDER JOHN KETTERER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2380 JULIA GOLDBACH AVE, RONKONKOMA, NY 11779-6317
(631) 438-7444
Mailing address
2380 JULIA GOLDBACH AVE, RONKONKOMA, NY 11779-6317
(631) 438-7444
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
049776
NY
Other
Enumeration date
12/16/2025
Last updated
12/16/2025
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