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Contact Information

JEFFREY L KELLER, MD
90 S BEDFORD RD
CARE MOUNT MEDICAL PC
MOUNT KISCO, NY10549-3412
 Phone: 914-241-1050
 Fax: 914-242-1516
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Otolaryngology/Facial Plastic Surgery

207YX0905X 04 Physician/Otolaryngology
 

Pediatric Otolaryngology

207YP0228X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for JEFFREY L KELLER · (Male)

NPI Number 1962459875
Status Active
Credentials MD
Entity Individual
Enumeration date 05/27/2006
Last updated 11/11/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 188631
  • NY Medicaid 01655114
  • NY Other 0667910001 DME
  • NY Other P00421812 MEDICARE RAILROAD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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