Ketzak, Michael P

Ketzak, Michael P is an individual health care provider with primary practice located at 425 Robinson St , Binghamton NY 13904-1735. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Ketzak, Michael P can be contacted via phone (607) 797-0680.

Contact Information

Primary practice address
425 Robinson St Binghamton NY 13904-1735
Phone: (607) 797-0680
Fax: (607) 797-4315
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X F402042-1 New York

Profile Details

NPI number 1356794903
LBN Legal business name Ketzak, Michael P
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2016
Last updated Jun 22nd, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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