Individual
DR. LEO M KEEGAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1125 5TH AVE, NEW YORK, NY 10128-0143
(212) 288-9800
(212) 860-7446
Mailing address
1125 5TH AVE, NEW YORK, NY 10128-0143
(212) 288-9800
(212) 860-7446
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
172658
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
172658
MEDICAL LICENSE
NY
01
—
61858
MEDICAL LICENSE
NJ
Enumeration date
08/03/2006
Last updated
07/08/2007
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