Dr. Kenneth Klonsky
Periodontist
40 Park Ave Office #6
New York
, New York 10016
Dr. Kenneth Klonsky
Periodontist
40 Park Ave Office #6
New York
, New York 10016
(212) 726-0963
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. Kenneth Klonsky
- 40 Park Ave Office #6
- New York, NY
- Zip : 10016
- Fax : (212) 726-0963
- Phone : (212) 726-0917
Second Address
- Dr. Kenneth Klonsky
- 40 Park Ave Office #6
- New York, NY
- Zip : 10016
- Fax : (212) 726-0963
- Phone : (212) 726-0917
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | 035129 | NY |
National Provider Identifier
| NPI | 1053383133 |
|---|---|
| Provider Name | Dr. Kenneth Klonsky |
| First Address | New York, NY 10016 |
| Second Address | New York, NY 10016 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/02/2006 |
| Last Update Date | 01/10/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.