Individual
COLLEEN KEATING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
419 W 114TH ST, NEW YORK, NY 10025-1710
(212) 523-4000
Mailing address
300 W 55TH ST APT 5L, NEW YORK, NY 10019-5163
(908) 842-6531
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
031082
NY
Other
Enumeration date
08/31/2022
Last updated
06/10/2025
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