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Individual

DR. KEITH L SOMMERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
148 TERRY RD, SMITHTOWN, NY 11787-5102
(631) 862-4000
(631) 862-4017
Mailing address
148 TERRY RD, SMITHTOWN, NY 11787-5102
(631) 862-4000
(631) 862-4017

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
176445
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01438600
NY
01
0201238
GHI
NY
01
0700546
UNITED HEALTHCARE
NY
01
113276400
EMPIRE
NY
01
123262
US HEALTHCARE
NY
01
16481
VYTRA
NY
01
176445
HIP
NY
01
4328076
AETNA
NM
01
4328078
CIGNA
NY
01
87F373
BC/BS
NY
01
AH01294
MDNY
NY
01
CP240
OXFORD
NY
01
OC5869
PHS
NY
01
P62225119
MULTIPLAN
NY
Enumeration date
09/13/2006
Last updated
07/18/2023
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