Doctor Name: | DR. JEFFREY T KESSLER |
NPI Number: | 1760469316 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 106804 |
Business Practice Address: | 1991 Marcus Avenue Suite 110 Lake Success, NY - 110422057 |
Business Phone Number: | 5164664700 |
Business Fax Number: | 5164664810 |
Mailing Address: | 1991 Marcus Avenue, Suite 110 LAKE SUCCESS |
State: | NY |
Postal Code: | 110422057 |
Phone Number: | 5164664700 |
Fax Number: | 5164664810 |
NPI Enumeration Date: | 12/26/2005 |
NPI Last Update Date: | 03/04/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 106804 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |