Organization
FORDAM UNIVERSITY
Active
Other names
Student Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
KULRAVEE KEEGAN D.O. (D.O.)
(718) 817-4160
Entity
Organization
Contact information
Practice address
441 E FORDHAM RD, BRONX, NY 10458-5149
(718) 817-4160
(718) 817-3218
Mailing address
441 E FORDHAM RD, BRONX, NY 10458-5149
(718) 817-4160
(718) 817-3218
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
F336467
NY
Other
Enumeration date
01/11/2011
Last updated
01/11/2011
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