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Contact Information

SCOTT KEATLEY, RD, CDN
596 BROADWAY
STE 302
NEW YORK, NY10012-3396
 Phone: 800-571-8276
 Fax: 888-974-0289
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Metabolic

133VN1006X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Renal

133VN1005X 71 Registered Dietitian or Nutrition Professional
 

Nutritionist

133N00000X
Indicates primary specialty

NPI Profile & details for SCOTT KEATLEY · (Male)

NPI Number 1619327129
Status Active
Credentials RD, CDN
Entity Individual
Enumeration date 06/15/2016
Last updated 01/21/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 009107
  • NY Other 6004111 AETNA
  • NY Other 06090442 BLUE CROSS BLUE SHIELD
  • NY Other 75762436 CIGNA
  • NY Other NU009107 HEALTHFIRST
  • NY Other 009107 NYS REGISTRATION
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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