Individual
KETTY PIERRE THERTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4500 PARSONS BLVD, FLUSHING, NY 11355-2205
(908) 884-4994
Mailing address
309 BIRCH DR, ROSELLE, NJ 07203-1910
(908) 884-4994
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
274917
NY
Other
Enumeration date
10/14/2011
Last updated
04/22/2015
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