Individual
CONSTANTINOS KETONIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
601 ELMWOOD AVE,, BOX 665, ROCHESTER, NY 14642
(585) 275-6970
(585) 273-3297
Mailing address
601 ELMWOOD AVE, BOX 665, ROCHESTER, NY 14642
(585) 275-6970
(585) 273-3297
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
291118
NY
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
291118
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2011
Last updated
06/29/2023
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