Individual
MR. KEYAN MA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
115 E 61ST ST, 7E, NEW YORK, NY 10021-8183
(212) 872-1745
(212) 872-1747
Mailing address
41 ROBERT CIR, SYOSSET, NY 11791-3829
(516) 558-7886
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
226971
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02363748
—
NY
01
—
0760J1
EMPIRE BCBS
NY
01
—
10742714
CIGNA PPO
NY
01
—
143010P
HIP
NY
01
—
174025P
HIP
NY
01
—
226971-0W
WORKER'S COMPENSATION
NY
01
—
228517
UNITEDHEALTHCARE
NY
01
—
2799244
GHI
NY
01
—
2799480
GHI
NY
01
—
5C4574
HEALTHNET
NY
01
—
9212239004
CIGNA PPO
NY
01
—
P3463235
OXFORD
NY
Enumeration date
04/27/2006
Last updated
07/09/2007
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