Individual provider · Type 1 NPI

Michael A. Ketteringham, MD, M.P.H.

Student in an Organized Health Care Education/Training Program · New York, NY

NPI number 1760633499 Active

Practice location

177 Fort Washington Ave
New York, NY 10032-3733

Call (212) 263-7300 Map

Mailing address

550 1st Ave
New York, NY 10016-6402

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1760633499

Michael A. Ketteringham, MD, M.P.H.'s National Provider Identifier is 1760633499, issued on Sep 30, 2008. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Jun 22, 2009.