Individual
JULIA KELTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
19 BRADHURST AVE, SUITE 2700, HAWTHORNE, NY 10532-2140
(914) 493-2250
(914) 493-2060
Mailing address
19 BRADHURST AVE, SUITE 3100N, HAWTHORNE, NY 10532-2140
(914) 909-9018
(914) 909-9028
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
279240
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
279240
NYS LICENSE
NY
Enumeration date
07/26/2011
Last updated
12/02/2021
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