Individual
MR. JAMES OKEEFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
45 HUDSON AVE, GLENS FALLS, NY 12801-4313
(518) 793-4477
(518) 798-7541
Mailing address
45 HUDSON AVE, PO BOX 144, GLENS FALLS, NY 12801-4313
(518) 793-4477
(518) 798-7541
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
126053
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000416210002
BLUE SHIELD
NY
05
—
00369104
—
NY
01
—
040426007603
FIDELIS
NY
01
—
10002779
CDPHP
NY
01
—
15145
MVP
NY
01
—
160012994
RAILROAD MEDICARE
NY
01
—
348851
BLUE CROSS
NY
Enumeration date
05/27/2005
Last updated
07/08/2007
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