Archambault, Maureen Keogh
Archambault, Maureen Keogh is an individual health care provider with primary practice located at 2528 Peters Lane , Niskeyuna NY 12309-2413. She recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as her primary health care specialty. Archambault, Maureen Keogh can be contacted via phone (518) 370-1455.Contact Information
Primary practice address
2528 Peters Lane
Niskeyuna NY 12309-2413
Phone: (518) 370-1455
Fax: (518) 370-2093
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 107149 | New York |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 20020372 | New Mexico |
Profile Details
| NPI number | 1417050881 |
|---|---|
| LBN Legal business name | Archambault, Maureen Keogh |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417050881 | NPPES |
| New York | MEDICAID | 810320 |
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