Doctor Name: | MRS. ALISSA KESCHNER |
NPI Number: | 1457300642 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 199341 |
Business Practice Address: | 700 Old Bethpage Rd Old Bethpage, NY - 118041240 |
Business Phone Number: | 5162930666 |
Business Fax Number: | 5162938218 |
Mailing Address: | 700 Old Bethpage Rd, OLD BETHPAGE |
State: | NY |
Postal Code: | 118041240 |
Phone Number: | 5162930666 |
Fax Number: | 5162938218 |
NPI Enumeration Date: | 05/08/2006 |
NPI Last Update Date: | 02/26/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2080A0000X |
License Number: | 199341 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Pediatrics |
Taxonomy Specialization: | Adolescent Medicine |
Taxonomy Definition: | A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |