Search › New York › 207Q00000X
Marjorie Ketzak, DO
NPI 1780684159 · on the registry since 2005
Practice
- Address
- 4207 State Highway 220
Oxford, NY 13830 - Phone
- (607) 843-3140
- Fax
- (607) 843-3162
- Organisation at this address
- State Of New York Comptrollers Office
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Additional practice sites
- 29 N Chenango St, Greene, NY
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-11-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York