Provider Demographics
NPI:1184122400
Name:JEFFREY H. KERN MD, PC
Entity type:Organization
Organization Name:JEFFREY H. KERN MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PEDIATRIC CARDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:H
Authorized Official - Last Name:KERN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:347-506-0470
Mailing Address - Street 1:14601 45TH AVE STE 302
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-2280
Mailing Address - Country:US
Mailing Address - Phone:347-506-0470
Mailing Address - Fax:646-779-0279
Practice Address - Street 1:14601 45TH AVE STE 302
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-2280
Practice Address - Country:US
Practice Address - Phone:347-506-0470
Practice Address - Fax:646-779-0279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-01
Last Update Date:2018-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric CardiologyGroup - Single Specialty