Individual
DR. JONATHAN KEFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 HO PLZ, ITHACA, NY 14853-3102
(607) 255-5155
Mailing address
110 HO PLZ, ITHACA, NY 14853-3102
(607) 255-5155
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
228331
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LICENSE NUMBER
228331
NY
Enumeration date
08/18/2006
Last updated
08/31/2025
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