IndividualActive
Jack Kellner, M.D.
NPI 1457696296 · Public Health & General Preventive Medicine Physician · New York, NY
Provider details
- NPI number
- 1457696296
- Entity type
- Individual
- Primary specialty
- Public Health & General Preventive Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 184865 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
215 W 95th St
New York, NY 10025-6331
Phone: (917) 331-1459
Approximate (ZIP-level) locationGet directions
Mailing address
215 W 95th St
New York, NY 10025-6331
Registry dates
- Enumerated
- 2012-12-05
- Last updated
- 2012-12-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.