Individual
KEISHA SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
233 NOSTRAND AVE, BROOKLYN, NY 11205-4924
(718) 826-5900
(718) 826-5860
Mailing address
55 WATER ST FL 2, NEW YORK, NY 10041-0010
(646) 680-2888
(516) 542-5556
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
331107
NY
Other
Enumeration date
06/08/2021
Last updated
11/06/2024
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