Provider Demographics
NPI:1003571423
Name:EFRAIM J KEISARI MD PLLC
Entity Type:Organization
Organization Name:EFRAIM J KEISARI MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:EFRAIM
Authorized Official - Middle Name:J
Authorized Official - Last Name:KEISARI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-287-5888
Mailing Address - Street 1:338 JERICHO TPKE # 204
Mailing Address - Street 2:
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-4507
Mailing Address - Country:US
Mailing Address - Phone:212-287-5888
Mailing Address - Fax:
Practice Address - Street 1:100 MANETTO HILL RD STE 209
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803-1311
Practice Address - Country:US
Practice Address - Phone:212-287-5888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-01
Last Update Date:2021-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty