Provider Demographics
NPI:1245320951
Name:KEISER, HAROLD D (MD)
Entity type:Individual
Prefix:
First Name:HAROLD
Middle Name:D
Last Name:KEISER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:606 MAITLAND AVE
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-2201
Mailing Address - Country:US
Mailing Address - Phone:718-405-8323
Mailing Address - Fax:718-405-8322
Practice Address - Street 1:MONTEFIORE MEDICAL PARK
Practice Address - Street 2:1515 BLONDELL AVENUE, STE. 220
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461
Practice Address - Country:US
Practice Address - Phone:718-405-8323
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY105395207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology