Individual
DR. MARJORIE KETZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4207 STATE HIGHWAY 220, OXFORD, NY 13830-4305
(607) 843-3140
(607) 843-3162
Mailing address
4207 STATE HIGHWAY 220, OXFORD, NY 13830-4305
(607) 843-3140
(607) 843-3162
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2200SG
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02154465
—
NY
Enumeration date
07/28/2005
Last updated
11/27/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us