Dr. David Scott Ketner Jr., M.D.
Ophthalmology in Bronx, NY. Individual provider (NPI-1).
NPI number1407022015
StatusActive
Last updated in NPPESMar 31, 2022
Details
- NPI
- 1407022015
- Entity type
- Individual (NPI-1)
- Name
- Dr. David Scott Ketner Jr.
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 3, 2008
- Certification date
- Mar 31, 2022
- Last updated
- Mar 31, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | 254818 | NY | Yes |
| 207WX0107X | Ophthalmology, Retina Specialist | 254818 | NY |
Practice location
1276 Fulton Ave Rm 208Bronx, NY 10456-3402
Phone 171-890-1891 · Fax 718-901-8918
Mailing address
1276 Fulton Ave Ste 3dBronx, NY 10456-3402
Other practice locations
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