Individual
THEODORE N KELTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 LOCKWOOD AVE, NEW ROCHELLE, NY 10801
(914) 633-7870
(914) 633-7626
Mailing address
150 LOCKWOOD AVE, NEW ROCHELLE, NY 10801
(914) 633-7870
(914) 633-7626
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
147709
NY
207RC0000X
Cardiovascular Disease Physician
Primary
147709
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101299
GHI
—
01
—
010147709NY
ANTHEM
—
05
—
01163946
—
NY
01
—
01227053
UNITED
—
01
—
060012979
RR MEDICARE
—
01
—
18941
HHP
—
01
—
27481P
HIP
—
01
—
4123687
AETNA
—
01
—
4604127024
CIGNA
—
01
—
538595
AETNA HMO
—
01
—
WS338
OXFORD
—
Enumeration date
08/11/2006
Last updated
06/01/2010
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