Organization
PETER KELT MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER ANTHONY KELT M.D. (PRESIDENT)
(631) 749-3149
Entity
Organization
Contact information
Practice address
44 SOUTH FERRY ROAD, SHELTER ISLAND, NY 11964-0880
(631) 749-3149
(631) 749-4257
Mailing address
700 HICKSVILLE RD, SUITE 200B, BETHPAGE, NY 11714-3471
(516) 576-5651
(516) 576-5801
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NY
Other
Enumeration date
10/04/2011
Last updated
10/04/2011
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