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Individual

DR. KEITH B LESCALE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
68 W CEDAR ST, 2ND LEVEL, POUGHKEEPSIE, NY 12601-1300
(845) 483-0500
Mailing address
68 W CEDAR ST, 2ND LEVEL, POUGHKEEPSIE, NY 12601-1300
(845) 483-0500

Taxonomy

Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
186070
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0297518
GHI PPO
NY
01
041120000017
FIDELIS
NY
01
10077954
CDPHP
01
24885
HUDSON HEALTH PLAN
NY
01
3242643
AETNA HMO
01
3243007
AETNA PPO
01
37210D
MAGNACARE
01
400190
MVP
NY
01
404545001
HEALTHNOW
NY
01
635D72
BCBS
01
75299
GHI HMO
NY
01
KL0635D720
BCBS
NY
01
P1260070
OXFORD
NY
Enumeration date
07/09/2006
Last updated
06/25/2008
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