Individual
MR. KEITH M DUARTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.T.,C.
Contact information
Practice address
1 WEBSTER AVE, SUITE 401, POUGHKEEPSIE, NY 12601-1361
(845) 454-8377
(845) 454-0707
Mailing address
PO BOX 305, ESOPUS, NY 12429
(845) 701-1999
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001385
NY
Other
Enumeration date
06/17/2006
Last updated
02/28/2011
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