Individual
ALAN KESTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 E BROADWAY, MONTICELLO, NY 12701-8823
(845) 794-1120
(845) 791-4318
Mailing address
300 E BROADWAY, MONTICELLO, NY 12701-8823
(845) 794-1120
(845) 791-4318
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
788427476
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02211934
—
NY
Enumeration date
04/11/2016
Last updated
04/11/2016
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