Individual
DR. ERIC J KEENLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
750 E ADAMS ST RM 4143, SYRACUSE, NY 13210-2306
(315) 464-4720
(315) 464-4905
Mailing address
5784 WIDEWATERS PKWY STE 2, SYRACUSE, NY 13214-1890
(315) 484-4891
(315) 472-5010
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
227313-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02369235
—
NY
Enumeration date
07/12/2006
Last updated
08/29/2024
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