Provider Demographics
NPI:1760469316
Name:KESSLER, JEFFREY T (MD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:T
Last Name:KESSLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1991 MARCUS AVENUE
Mailing Address - Street 2:SUITE 110
Mailing Address - City:LAKE SUCCESS
Mailing Address - State:NY
Mailing Address - Zip Code:11042-2057
Mailing Address - Country:US
Mailing Address - Phone:516-466-4700
Mailing Address - Fax:516-466-4810
Practice Address - Street 1:1991 MARCUS AVENUE
Practice Address - Street 2:SUITE 110
Practice Address - City:LAKE SUCCESS
Practice Address - State:NY
Practice Address - Zip Code:11042-2057
Practice Address - Country:US
Practice Address - Phone:516-466-4700
Practice Address - Fax:516-466-4810
Is Sole Proprietor?:No
Enumeration Date:2005-12-26
Last Update Date:2009-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY106804174400000X
NY106804-12084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY112434927OtherANTHEM HEALTH NETWORK
NY112434927OtherONE HEALTH PLAN
NY112434927OtherTPA/ BENESIGHT
NY112434927OtherAMERIHEALTH PPO/HMO/POS
NY112434927OtherBEECH STREET CORPORATION
NY112434927OtherFIRST HEALTH
NY112434927OtherMULTIPLAN
NY1196482002OtherCIGNA HEALTHCARE
NY957631OtherEMPIRE HEALTH CHOICE
NY112434927OtherPHCS
NYOC2811OtherPHS/ACS
NYAS1203OtherOXFORD
NY4292117OtherAETNA MC/PPO/EPO
NY883074OtherAETNA HMO
NY173486OtherEMPIRE PLAN/UNITED HEALTH
NY112434927OtherSELECT PRO
NY112434927OtherHORIZON HEALTHCARE
NY112434927OtherSELECT PRO
NY883074OtherAETNA HMO