Individual
KEITH J DEGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
230 W 17TH ST, 7TH FLOOR, NEW YORK, NY 10011-5325
(212) 523-6500
(212) 523-8555
Mailing address
PO BOX 95000-2240, PHILADELPHIA, PA 19195-0001
(212) 523-6500
(212) 523-8555
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
211218
NY
2084P0800X
Psychiatry Physician
Primary
211218
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02267307
—
NY
01
—
A400045011
MEDICARE PTAN
—
Enumeration date
02/26/2007
Last updated
10/02/2012
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