Keslonsky, Adam Jon

Keslonsky, Adam Jon is an individual health care provider with primary practice located at 180 E Pulaski Rd , Huntington Station NY 11746-1915. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Keslonsky, Adam Jon can be contacted via phone (631) 425-2244.

Contact Information

Primary practice address
180 E Pulaski Rd Huntington Station NY 11746-1915
Fax: (631) 425-2158
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N005478-1 New York

Profile Details

NPI number 1891792180
LBN Legal business name Keslonsky, Adam Jon
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Apr 5th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891792180 NPPES
New York MEDICAID 02071263

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