Kenneth Tietjen
M.D. | Pediatrics | Male
Kenneth Tietjen, M.D. is a Brooklyn, New York based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Kenneth Tietjen is
2601 Ocean Pkwy, Brooklyn, New York - 11235-7745. He can be contacted on phone at
718-616-3205.
Kenneth Tietjen is a sole proprietor of his business.
NPI number (Unique professional ID) for Kenneth Tietjen is
1245765817 which was assigned by NPPES on 20 Apr, 2017 and it was last updated on 25 Aug, 2021.
Kenneth Tietjen license number is
307219 for Pediatrics (208000000X) in New York.
Kenneth Tietjen is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Kenneth Tietjen basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Kenneth Tietjen |
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| Credential : | M.D. |
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| Gender : | Male |
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| Sole Proprietor : | Yes |
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Business Address:
Kenneth Tietjen address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2601 Ocean Pkwy
Brooklyn, NY, 11235-7745
United States |
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| Phone Number : | 718-616-3205 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1245765817 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 20 Apr, 2017 |
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| Last Updated On : | 25 Aug, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kenneth Tietjen are as mentioned. Primary taxonomy code for Kenneth Tietjen, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 307219 | NY |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2601 Ocean Pkwy Rm 901
Brooklyn, NY, 11235-7745
United States |
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| Phone Number : | 718-616-3205 |
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Business Location:
Patients can refer following map for directions to
Kenneth Tietjen practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.