Dr GEORGE D KECKEISEN MD is a male medical professional, specializing in General Surgery. He graduated in 1981 from New York Medical College.
MEETING HOUSE LANE MEDICAL PRACTICE PC
240 MEETING HOUSE LN
SOUTHAMPTON
NY
119685009
Tel: 6317268400
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 |
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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 |
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Professional Accepts Medicare Assignment | Y |
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