JACK E. KEISER,JR.,M.D.,PC
Urology at Brookhollow Dr, Auburn, NY

License number
New York 137461
Category
Radiology
Type
Urology
Owner
Name: DR. JACK E KEISER JR. M.D.
Title: CEO/UROLOGIST
Phone: (315) 253-2785
Address
Address
50 Brookhollow Dr, Auburn, NY 13021
National Provider ID: 1154518231
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JACK E. KEISER, JR., M.D., PC

50 Brookhollow Dr, Auburn, NY 13021

Status:
Inactive
Inactive reason:
Dissolution
Registration:
Oct 14, 1999
Inactive since:
Mar 11, 2014
State ID:
2428873
Business type:
Domestic Professional Corporation
Jack E Keiser Jr, 50 Brookhollow Dr, Auburn, NY 13021 (Physical)

Urology licenses in New York


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