Provider Demographics
NPI:1134281074
Name:KELLEHER, ERIN KATHLEEN (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:KATHLEEN
Last Name:KELLEHER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:43 OLD DEER PARK RD
Mailing Address - Street 2:
Mailing Address - City:KATONAH
Mailing Address - State:NY
Mailing Address - Zip Code:10536
Mailing Address - Country:US
Mailing Address - Phone:914-337-7474
Mailing Address - Fax:914-961-0058
Practice Address - Street 1:1 ELM STREET
Practice Address - Street 2:
Practice Address - City:TUCKANOE
Practice Address - State:NY
Practice Address - Zip Code:10707
Practice Address - Country:US
Practice Address - Phone:914-337-7474
Practice Address - Fax:914-961-0058
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
Last Update Date:2011-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY228882208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics