Individual
MARINA KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 WOODS RD, VALHALLA, NY 10595-1530
(914) 493-6616
(914) 493-5827
Mailing address
19 BRADHURST AVE STE 3100N, HAWTHORNE, NY 10532-2140
(914) 909-9018
(914) 909-9028
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
240571-1
NY
207RI0200X
Infectious Disease Physician
Primary
240571-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03533795
—
NY
Enumeration date
09/13/2012
Last updated
12/20/2021
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