Dr Kenneth Michael Testa, DO | |
124 Mcclean Ave, Staten Island, NY 10305-4614 | |
(718) 876-8080 | |
(718) 876-6143 |
Full Name | Dr Kenneth Michael Testa |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 29 Years |
Location | 124 Mcclean Ave, Staten Island, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093974271 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 226616 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
City Medical Of Upper East Side Pllc | 0648465039 | 737 |
Entity Name | City Medical Of Upper East Side Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801277629 PECOS PAC ID: 0648465039 Enrollment ID: O20101111000052 |
Mailing Address | Practice Location Address |
---|---|
Dr Kenneth Michael Testa, DO 124 Mcclean Ave, Staten Island, NY 10305-4614 Ph: (718) 876-8080 | Dr Kenneth Michael Testa, DO 124 Mcclean Ave, Staten Island, NY 10305-4614 Ph: (718) 876-8080 |
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