Keller, Marina
Keller, Marina is an individual health care provider with primary practice located at 100 Woods Rd , Valhalla NY 10595-1530. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is her primary health care specialty. Keller, Marina can be contacted via phone (914) 493-6616.Contact Information
Primary practice address
100 Woods Rd
Valhalla NY 10595-1530
Phone: (914) 493-6616
Fax: (914) 493-5827
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 240571-1 | New York |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 240571-1 | New York |
Profile Details
| NPI number | 1194075549 |
|---|---|
| LBN Legal business name | Keller, Marina |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2012 |
| Last updated | Dec 20th, 2021 - about 5 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 | 1194075549 | NPPES |
| New York | MEDICAID | 03533795 |
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