Provider Demographics
NPI:1447523865
Name:KESHWANI, YASMEEN (PA)
Entity type:Individual
Prefix:MRS
First Name:YASMEEN
Middle Name:
Last Name:KESHWANI
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 W 125TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10027-4512
Mailing Address - Country:US
Mailing Address - Phone:212-289-5795
Mailing Address - Fax:212-348-5194
Practice Address - Street 1:33 W 125TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027-4512
Practice Address - Country:US
Practice Address - Phone:212-289-5795
Practice Address - Fax:212-348-5194
Is Sole Proprietor?:No
Enumeration Date:2012-02-15
Last Update Date:2014-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA005986363AM0700X
NY011517363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical