Provider Demographics
NPI:1124108774
Name:KELLER, STEVEN M (MD)
Entity type:Individual
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First Name:STEVEN
Middle Name:M
Last Name:KELLER
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1575 BLONDELL AVE
Mailing Address - Street 2:SUITE 125
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-2660
Mailing Address - Country:US
Mailing Address - Phone:718-405-8378
Mailing Address - Fax:718-405-8253
Practice Address - Street 1:1575 BLONDELL AVE
Practice Address - Street 2:SUITE 125
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-2660
Practice Address - Country:US
Practice Address - Phone:718-405-8378
Practice Address - Fax:718-405-8253
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2011-10-25
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Provider Licenses
StateLicense IDTaxonomies
NY134727208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)