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Individual

DR. JANINE KEUSKAMP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
630 W 168TH ST, MC 28, NEW YORK, NY 10032-3725
(212) 305-1948
Mailing address
630 W 168TH ST, P & S BOX 28, NEW YORK, NY 10032-3725
(212) 305-1948

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
234778
NY
390200000X
Student in an Organized Health Care Education/Training Program
234778
NY

Other

Enumeration date
03/13/2012
Last updated
03/04/2015
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