National Provider Identifier

Jonathan Keffer, MD

Jonathan Keffer, MD is listed in the NPPES registry with a primary specialty of General Practice Physician in Ithaca, NY and a listed phone number of (607) 255-5155.

NPI 1447364633Ithaca, NYGeneral Practice Physician

Profile Overview

NPI
1447364633
Provider Type
Individual
Primary Specialty
General Practice Physician
Enumeration Date
August 18, 2006
Last Updated
August 31, 2025

Practice Location

  • 110 Ho Plz
  • Ithaca, NY 14853-3102

Phone: (607) 255-5155

Specialties

  • General Practice Physician (208D00000X)
Full Record
NPI
1447364633
Entity Type
Individual
Last Name
Keffer
First Name
Jonathan
Name Prefix
Dr.
Credential
MD
Mailing Street Address
110 Ho Plz
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14853-3102
Mailing Country
US
Mailing Phone
(607) 255-5155
Practice Street Address
110 Ho Plz
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14853-3102
Practice Country
US
Practice Phone
(607) 255-5155
Enumeration Date
August 18, 2006
Last Updated
August 31, 2025
Sex
Male
Sole Proprietor
No
Certification Date
August 31, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
General Practice Physician (208D00000X)
Other Identifiers
LICENSE NUMBER (NY, 228331)