Individual
MR. JOHN P. KEEFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA
Contact information
Practice address
2 PALISADES DR, ALBANY, NY 12205-1438
(518) 458-2000
(518) 458-1524
Mailing address
2 PALISADES DR, ALBANY, NY 12205-1438
(518) 458-2000
(518) 458-1524
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
005149
NY
363AM0700X
Medical Physician Assistant
Primary
005149
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02340889
—
NY
Enumeration date
07/11/2005
Last updated
05/11/2021
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