GEORGE D KECKEISEN MD

MEETING HOUSE LANE MEDICAL PRACTICE PC

Dr GEORGE D KECKEISEN MD is a male medical professional, specializing in General Surgery. He graduated in 1981 from New York Medical College.

Contact

MEETING HOUSE LANE MEDICAL PRACTICE PC

240 MEETING HOUSE LN
SOUTHAMPTON
NY
119685009

Tel: 6317268400

GEORGE D KECKEISEN MD Information

Npi 1619072436
Pac Id 1759329725
Professional Enrollment Id I20050421000493
Last Name KECKEISEN
First Name GEORGE
Middle Name D
Suffix
Gender M
Credential MD
Medical School Name NEW YORK MEDICAL COLLEGE
Graduation Year 1981
Primary Specialty GENERAL SURGERY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name MEETING HOUSE LANE MEDICAL PRACTICE PC
Group Practice Pac Id 6800972589
Number Of Group Practice Members 88
Line 1 Street Address 240 MEETING HOUSE LN
Line 2 Street Address
Marker Of Address Line 2 Suppression
City SOUTHAMPTON
State NY
Zip Code 119685009
Phone Number 6317268400
Hospital Affiliation Ccn 1 330393
Hospital Affiliation Lbn 1 SUNY/STONY BROOK UNIVERSITY HOSPITAL
Hospital Affiliation Ccn 2 330088
Hospital Affiliation Lbn 2 EASTERN LONG ISLAND HOSPITAL
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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