Individual
DR. KENNETH EMANCIPATOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10 LINDA LN, HAMPTON BAYS, NY 11946-2202
(631) 728-8299
Mailing address
10 LINDA LN, HAMPTON BAYS, NY 11946-2202
(631) 728-8299
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
158575
NY
Other
Enumeration date
07/24/2013
Last updated
07/24/2013
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