Individual
DR. KEITH HALLER
Active
Individual
DR. KEITH HALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
280264-01
NY
207LP3000X
Pediatric Anesthesiology Physician
280264
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/14/2010
Last updated
08/25/2025
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