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1093974271
KENNETH MICHAEL TESTA
STATEN ISLAND, NY
NPI
1093974271
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: NY 226616)
Enumeration Date
2008-06-03
Last Update Date
2008-06-03
Business Address
Dr. KENNETH MICHAEL TESTA DO
124 MCCLEAN AVE
STATEN ISLAND, NY 10305-4614
Phone number: 718-876-8080
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Mailing Address
Dr. KENNETH MICHAEL TESTA DO
124 MCCLEAN AVE
STATEN ISLAND, NY 10305-4614
Phone number: 718-876-8080
Copy
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