Provider Demographics
NPI:1366421349
Name:DRS KETAY & SCHAAP
Entity type:Organization
Organization Name:DRS KETAY & SCHAAP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:R
Authorized Official - Last Name:KETAY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:212-688-3255
Mailing Address - Street 1:509 MADISON AVE
Mailing Address - Street 2:STE 1704
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022
Mailing Address - Country:US
Mailing Address - Phone:212-688-3255
Mailing Address - Fax:212-758-9132
Practice Address - Street 1:509 MADISON AVE
Practice Address - Street 2:STE 1704
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022
Practice Address - Country:US
Practice Address - Phone:212-688-3255
Practice Address - Fax:212-758-9132
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty