Kvetny, Gennadiy

Kvetny, Gennadiy is an individual health care provider with primary practice located at 7554 Metropolitan Ave , Middle Village NY 11379-2639. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kvetny, Gennadiy can be contacted via phone (718) 894-4200.

Contact Information

Primary practice address
7554 Metropolitan Ave Middle Village NY 11379-2639
Phone: (718) 894-4200
Fax: (718) 894-3900
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 208977 New York

Profile Details

NPI number 1164482618
LBN Legal business name Kvetny, Gennadiy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Aug 23rd, 2010 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1164482618 NPPES
New York MEDICAID 01897043

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