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1114900370
KENNETH WORTMAN
STATEN ISLAND, NY
NPI
1114900370
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: NY 121285)
Enumeration Date
2005-11-22
Last Update Date
2008-06-10
Business Address
Dr. KENNETH WORTMAN MD
440 SEAVIEW AVE
STATEN ISLAND, NY 10305-3401
Phone number: 718-226-6550
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Mailing Address
Dr. KENNETH WORTMAN MD
1 EDGEWATER ST SUITE 723
STATEN ISLAND, NY 10305-4900
Phone number: 718-226-1008
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