Individual
KEITH ZAUDERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
147 BEACH RD, WESTHAMPTON BEACH, NY 11978-1733
(631) 288-7746
Mailing address
2 MEMAS CT, DIX HILLS, NY 11746-5224
(631) 988-9302
(970) 645-3413
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
301225
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/09/2016
Last updated
06/10/2022
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