Individual
MR. ANTHONY THOMAS KEIFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A
Contact information
Practice address
1400 PELHAM PKWY S, BRONX, NY 10461-1138
(718) 918-5000
Mailing address
94 MILLER AVE, NORTH BABYLON, NY 11703-4023
(631) 258-8309
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
016402
NY
Other
Enumeration date
04/15/2013
Last updated
04/15/2013
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