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General NPI Number Information
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NPI Number | 1861601197
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Entity Type | Individual
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Provider Name | YAIR YONATAN KEILSON MD
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Gender | Male
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 03/23/2023
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Provider Practice Location Address
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Address Line | 902 QUENTIN RD
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City | BROOKLYN
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State | NY
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Zip | 11223-2214
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Country | US
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Telephone | 917-736-9740
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Fax |
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Provider Business Mailing Address
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Address Line | 200 BOUNDARY AVE SUITE 200
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City | MASSAPEQUA
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State | NY
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Zip | 11758-1152
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Country | US
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Telephone | 516-755-2404
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 242397
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License Number State | NY
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