Provider Demographics
NPI:1457318677
Name:HELD, DOUGLAS KEITH (MD)
Entity Type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:KEITH
Last Name:HELD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1300 UNION TPKE
Mailing Address - Street 2:SUITE 108
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-1759
Mailing Address - Country:US
Mailing Address - Phone:516-488-2743
Mailing Address - Fax:516-488-6249
Practice Address - Street 1:1300 UNION TPKE
Practice Address - Street 2:SUITE 108
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-1759
Practice Address - Country:US
Practice Address - Phone:516-488-2743
Practice Address - Fax:516-488-6249
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2008-03-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY147305208600000X, 208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB79122Medicare UPIN