Individual
DR. KEITH HALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1000 10TH AVE, NEW YORK, NY 10019-1147
(212) 523-4000
Mailing address
ANESTHESIOLOGY DEPARTMENT OF MOUNT SINAI, PO BOX 28082, NEW YORK, NY 10087
(212) 987-3100
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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