Individual
DR. KEITH G COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
159 MARGARET ST, SUITE 100, PLATTSBURGH, NY 12901-1893
(518) 314-3939
(518) 314-3940
Mailing address
PO BOX 2868, PLATTSBURGH, NY 12901-0259
(518) 562-7900
(518) 562-7933
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
192993
NY
207RI0200X
Infectious Disease Physician
Primary
192993
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01464494
—
NY
Enumeration date
09/15/2006
Last updated
11/16/2015
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