Individual
PAMELA J KEEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
19 BEEKMAN ST, NEW YORK, NY 10038-1522
(212) 513-7711
(212) 513-7723
Mailing address
PO BOX 9685, UNIONDALE, NY 11555-9685
(212) 513-7711
(212) 513-7723
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
010799
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010799
NYS MEDICAL LICENSE
NY
Enumeration date
03/05/2008
Last updated
07/15/2024
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