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John R Keeley, Physician Assistant

Physician Assistant, Surgical in White Plains, NY. Individual provider (NPI-1).

NPI number1649374331
StatusActive
Last updated in NPPESOct 16, 2013

Details

NPI
1649374331
Entity type
Individual (NPI-1)
Name
John R Keeley
Credential
Physician Assistant
Sex
Male
Sole proprietor
No
Enumeration date
Sep 12, 2006
Last updated
Oct 16, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AS0400X Physician Assistant, Surgical003134NYYes

Practice location

210 Westchester Ave
White Plains, NY 10604-2901

Phone 914-682-6540 · Fax 914-682-6541

Mailing address

2700 Westchester Ave
2nd Floor
Purchase, NY 10577-2547

Phone 914-681-3146 · Fax 914-457-1198

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