Individual
JORGE R KIZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1628 EASTCHESTER RD, BRONX, NY 10461-2663
(646) 670-5125
(646) 670-5121
Mailing address
1300 MORRIS PARK AVE, ALBERT EINSTEIN COLLEGE OF MEDICINE, BRONX, NY 10461-1900
(718) 839-7917
(718) 430-8989
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
220618
NY
207RC0000X
Cardiovascular Disease Physician
Primary
220618
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02140449
—
NY
Enumeration date
10/09/2006
Last updated
01/11/2013
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