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1891984548
KENNWORTH EATON
HAMPTON BAYS, NY
NPI
1891984548
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 006619)
Enumeration Date
2007-10-18
Last Update Date
2021-06-07
Business Address
Mr. KENNWORTH EATON P.A.
240 W MONTAUK HWY
HAMPTON BAYS, NY 11946-3510
Phone number: 631-728-4500
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Mailing Address
Mr. KENNWORTH EATON P.A.
240 W MONTAUK HWY
HAMPTON BAYS, NY 11946-3510
Phone number: 631-728-4500
Copy
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