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Individual

DR. JEFFREY T KESSLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1991 MARCUS AVENUE, SUITE 110, LAKE SUCCESS, NY 11042-2057
(516) 466-4700
(516) 466-4810
Mailing address
1991 MARCUS AVENUE, SUITE 110, LAKE SUCCESS, NY 11042-2057
(516) 466-4700
(516) 466-4810

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
106804
NY
2084N0400X
Neurology Physician
Primary
106804-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
112434927
ANTHEM HEALTH NETWORK
NY
01
1196482002
CIGNA HEALTHCARE
NY
01
173486
EMPIRE PLAN/UNITED HEALTH
NY
01
4292117
AETNA MC/PPO/EPO
NY
01
883074
AETNA HMO
NY
01
957631
EMPIRE HEALTH CHOICE
NY
01
AS1203
OXFORD
NY
01
OC2811
PHS/ACS
NY
Enumeration date
12/26/2005
Last updated
03/04/2009
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