George D Keckeisen in Southampton - Vascular Surgery
George D Keckeisen - NPI 1619072436
George D Keckeisen is a Vascular Surgery in Southampton, New York. George D Keckeisen practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for George D Keckeisen is 1619072436. The last update date is 2011-01-11.
George D Keckeisen's current location address is Po Box 2340, Southampton, New York. You can contact this provider via phone number 6312832430 and fax number 6312837496. The mailing address for George D Keckeisen is Po Box 2340, Southampton, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | George D Keckeisen |
|---|---|
| Address | Po Box 2340, Southampton, New York |
| Phone Number | 6312832430 |
| Fax Number | 6312837496 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1619072436 |
|---|---|
| Provider Enumeration Date | 2006-09-14 |
| Last Updated Date | 2011-01-11 |
Provider Mailing Address Detail
| Address | Po Box 2340 |
|---|---|
| City | Southampton |
| State | New York (NY) |
| Post Code | 119692340 |
| Phone Number | 6312832430 |
| Fax Number | 6312837496 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | 151417 |
|
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1521420 | NY | -- | |
| 27263 | NY | VYTRA |
Post Comment/ Review Below
What is the unique provider identifier assigned to George D Keckeisen?
The George D Keckeisen has been issued the NPI (National Provider Identifier) 1619072436 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where George D Keckeisen is physically located?
The George D Keckeisen is physically situated at the following address: Po Box 2340, Southampton, NY, 119692340.
What is George D Keckeisen's specialized field of practice, and what is the corresponding taxonomy classification code?
The George D Keckeisen's area of specialization is Vascular Surgery, and the corresponding taxonomy code that categorizes this field of practice is 2086S0129X.
On what date did the George D Keckeisen receive its 1619072436 assignment from the Centers for Medicare & Medicaid Services?
The George D Keckeisen was assigned its 1619072436 by the Centers for Medicare & Medicaid Services on 2006-09-14.
As of what date was the information regarding George D Keckeisen, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to George D Keckeisen, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-01-11.