Individual
DR. KEITH WAYNE FACTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
595 FLATBUSH AVE, BROOKLYN, NY 11225-4903
(347) 357-8445
(877) 868-8633
Mailing address
595 FLATBUSH AVE, BROOKLYN, NY 11225-4903
(347) 357-8445
(877) 868-8633
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N003728-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00842897
—
NY
05
—
02519726
—
NY
Enumeration date
07/20/2006
Last updated
03/17/2018
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