Provider Demographics
NPI:1679555445
Name:KEMETHER, EILEEN (MD)
Entity Type:Individual
Prefix:
First Name:EILEEN
Middle Name:
Last Name:KEMETHER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:903 PARK AVE
Mailing Address - Street 2:SUITE 2C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-0361
Mailing Address - Country:US
Mailing Address - Phone:212-737-1898
Mailing Address - Fax:212-737-1898
Practice Address - Street 1:903 PARK AVE
Practice Address - Street 2:SUITE 2C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-0338
Practice Address - Country:US
Practice Address - Phone:212-737-1898
Practice Address - Fax:212-737-1898
Is Sole Proprietor?:No
Enumeration Date:2005-11-17
Last Update Date:2008-05-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY1959942084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYG30631Medicare UPIN