Provider Demographics
NPI:1336502871
Name:KEISARI, EFRAIM JUNIOR (MD)
Entity Type:Individual
Prefix:DR
First Name:EFRAIM
Middle Name:JUNIOR
Last Name:KEISARI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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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:918-205-8628
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:918-205-8628
Is Sole Proprietor?:No
Enumeration Date:2016-04-01
Last Update Date:2021-09-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME1377822084P0800X
NY3106532084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry