Individual
DR. KEITH MELVIN STAIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
58 MAIN ST, EAST ROCKAWAY, NY 11518-1929
(516) 599-7325
Mailing address
6 CHESTNEY RD, LAWRENCE, NY 11559-2510
(516) 295-4608
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
134528
NY
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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