Individual
ERIC P KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
9 INDEPENDENCE WAY, VALATIE, NY 12184-5116
(845) 392-6388
Mailing address
9 INDEPENDENCE WAY, VALATIE, NY 12184-5116
(845) 392-6388
(845) 255-0236
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
009832
NY
Other
Enumeration date
05/24/2006
Last updated
09/23/2013
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