National Provider Identifier Database

GEORGE D KECKEISEN, MD – NPI #1619072436
Vascular Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.


Contact Information

GEORGE D KECKEISEN, MD
325 MEETING HOUSE LN
BLDG #2
SOUTHAMPTON, NY11968-5087
Phone: 631-283-2100
Fax: 631-283-5731
Website:
Specialty Taxonomy Code
* Vascular Surgery 2086S0129X

* Indicates primary specialty

NPI Profile & details for GEORGE D KECKEISEN

NPI Number 1619072436
Credentials MD
Entity Individual
Enumeration date 09/14/2006
Last updated 01/11/2011 - About 15 years ago
Sole proprietor1 No
Identifiers
  • NY License #: 151417
  • NY Medicaid: 01521420
  • NY Other: 27263 VYTRA
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for GEORGE D KECKEISEN, MD

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