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Individual

DR. JEFFREY KEZIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
29 FOX ST FL 4, POUGHKEEPSIE, NY 12601
(845) 473-2350
(845) 473-4305
Mailing address
969 MAIN ST STE D, FISHKILL, NY 12524-1791
(845) 896-7730
(845) 896-7758

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
108904
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00564681
NY
Enumeration date
07/07/2005
Last updated
12/13/2018
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