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Individual

KEITH A MOBILIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
2338 RICHMOND RD, STATEN ISLAND, NY 10306-2346
(718) 979-1333
(718) 351-3215
Mailing address
2338 RICHMOND RD, STATEN ISLAND, NY 10306-2346
(718) 979-1333
(718) 351-3215

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N0038671
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0061975
GHI
NY
01
0085622
AETNA
NY
05
01269630
NY
01
0C8319
HEALTHNET
NY
01
133270701
UNITED HEALTHCARE
NY
01
164458
ELDERPLAN
NY
01
196810404877
HUMANA
KY
01
27-82066
EVERCARE
NY
01
4055380001
DMEPOS
MA
01
6344716004
CIGNA
NM
01
A400010844
MEDICARE PTAN
NY
01
N003867-B11
HEALTH FIRST
NY
01
P39911
EMPIRE BLUE CROSS BLUE SH
NY
01
P402905
OXFORD HEALTH PLAN
NY
01
P89785
AMERIHEALTH
PA
Enumeration date
02/09/2006
Last updated
07/23/2024
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