Organization
KEZMED MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW ORMSON (CREDENTIALER)
(917) 945-5436
Entity
Organization
Contact information
Practice address
42 WOODS END RD N, DIX HILLS, NY 11746-5934
(347) 860-1900
Mailing address
228 PARK AVE S, #36910, NEW YORK, NY 10003-1502
(347) 860-1900
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
262198-1
NY
Other
Enumeration date
11/11/2013
Last updated
11/11/2013
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