Individual
DR. DAVID SCOTT KETNER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1276 FULTON AVE RM 208, BRONX, NY 10456-3402
(171) 890-1891
(718) 901-8918
Mailing address
1276 FULTON AVE STE 3D, BRONX, NY 10456-3402
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
254818
NY
207WX0107X
Retina Specialist (Ophthalmology) Physician
254818
NY
Other
Enumeration date
05/03/2008
Last updated
03/31/2022
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