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Individual

DR. KEITH JOSEPH DAHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1050 CLOVE RD, STATEN ISLAND, NY 10301-3627
(718) 816-6440
(718) 816-3656
Mailing address
55 WATER ST FL 2, NEW YORK, NY 10041-0010
(646) 680-2888
(516) 542-5556

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
248916
NY
207RG0100X
Gastroenterology Physician
Primary
248916
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03347000
NY
Enumeration date
06/04/2008
Last updated
09/15/2025
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