Organization
NORTHTOWN PODIATRY GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN E KEATING DPM (PRESIDENT)
(716) 838-2983
Entity
Organization
Contact information
Practice address
2121 MAIN ST, SUITE 214, BUFFALO, NY 14214-2693
(716) 838-2983
(716) 838-2942
Mailing address
2121 MAIN ST, SUITE 214, BUFFALO, NY 14214-2693
(716) 838-2983
(716) 838-2942
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01001743
—
NY
01
—
1499938
GHI
NY
Enumeration date
07/17/2006
Last updated
08/22/2020
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