JASON KETTENRING

NEW YORK, NY
NPI1003645144
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2024-07-29
Last Update Date2024-07-29
Business Address
JASON KETTENRING
177 FT WASHINGTN AVE
NEW YORK, NY 10032-3733
Phone number: 212-305-2500
Mailing Address
JASON KETTENRING
14517 17TH RD
WHITESTONE, NY 11357-3026
Phone number: 347-756-2728
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