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Individual

DR. KENNETH A ZIPKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS MS

Contact information

Practice address
30 SCHOOL ST, REAR, GLEN COVE, NY 11542
(516) 671-3131
(516) 671-3172
Mailing address
30 SCHOOL ST, REAR, GLEN COVE, NY 11542
(516) 671-3131
(516) 671-3172

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
029010DDS
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00497576
NY
Enumeration date
08/17/2006
Last updated
07/08/2007
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