Individual
MARINA KELLER
Active
Individual
MARINA KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
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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