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Contact Information

KEITH C FIELD, PA
200 BELLE TERRE RD
PORT JEFFERSON, NY11777-1928
 Phone: 631-474-6000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for KEITH C FIELD · (Male)

NPI # 1710953435
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 02/23/2006
Last updated 10/29/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 009046-1
  • Other P00281744 RAILROAD
Hospital affiliation(s)
  • JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON - (Acute Care)
    75 NORTH COUNTRY ROAD
    PORT JEFFERSON, NY 11777
  • ST CHARLES HOSPITAL - (Acute Care)
    200 BELLE TERRE ROAD
    PORT JEFFERSON, NY 11777
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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