Statements: FISHBERGER KENNETH I

Canonical ID: NK-2BrL5G32LcKphZfQTyfCeZ · Entity type: LegalEntity (reference)

PropertyValueLangSource datasetSource IDFirst seen
Person:address200 BELLE TERRE ROAD, SUITE #110, PORT JEFFERSON, NY 11777ext_us_cms_npius-npi-1649291451
Person:countryusext_us_cms_npius-npi-1649291451
Person:firstNameKENNETHext_us_cms_npius-npi-1649291451
Person:id8cda41400ad1c8b3f6a69e740c3e32234cb1d923ext_us_cms_npius-npi-1649291451
Person:lastNameFISHBERGERext_us_cms_npius-npi-1649291451
Person:middleNameIRWINext_us_cms_npius-npi-1649291451
Person:nameKENNETH IRWIN FISHBERGERext_us_cms_npius-npi-1649291451
Person:npiCode1649291451ext_us_cms_npius-npi-1649291451
Person:titleDR.ext_us_cms_npius-npi-1649291451
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