Individual
MICHAEL PAUL KEENAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
750 EAST ADAMS ST, SYRACUSE, NY 13210-1126
(315) 464-4363
(315) 464-8690
Mailing address
251 SALINA MEADOWS PKWY, STE 100, SYRACUSE, NY 13212-4516
(315) 464-2000
(315) 464-2010
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
302825
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2017
Last updated
02/03/2021
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