| Mr Kenneth R Dodge, RPAC | |
|
200 Pantiago Place, Ste J, East Hampton, NY 11937 | |
| (631) 324-7700 | |
| (631) 324-7701 |
| Full Name | Mr Kenneth R Dodge |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 200 Pantiago Place, East Hampton, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952366601 | NPI | - | NPPES |
| 01271329 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0001001 (New York) | Primary |
| 363AM0700X | Physician Assistant - Medical | 0001001 (New York) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kenneth R Dodge, RPAC Po Box 2340, Southampton, NY 11969-2340 Ph: (631) 283-2100 | Mr Kenneth R Dodge, RPAC 200 Pantiago Place, Ste J, East Hampton, NY 11937 Ph: (631) 324-7700 |
Brittany Lynn Andersen, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 Pantigo Pl, East Hampton, NY 11937 Phone: 631-538-0920 Fax: 631-527-7387 | |
Alphonso A Scotti, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 470 Pantigo Road, East Hampton, NY 11937 Phone: 631-329-5900 | |
Daniel Truhan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 470 Montauk Hwy, East Hampton, NY 11937 Phone: 631-329-5900 | |
Evelyn Morales Valverde, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 400 Pantigo Pl, East Hampton, NY 11937 Phone: 631-726-0400 |