Provider Demographics
NPI:1255493839
Name:KELLER, ALLEN SCOTT (MD)
Entity type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:SCOTT
Last Name:KELLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:462 1ST AVE
Mailing Address - Street 2:CD741
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-9196
Mailing Address - Country:US
Mailing Address - Phone:212-562-8490
Mailing Address - Fax:212-562-8624
Practice Address - Street 1:462 1ST AVE
Practice Address - Street 2:CD741
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-9196
Practice Address - Country:US
Practice Address - Phone:212-562-8490
Practice Address - Fax:212-994-7177
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2013-12-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY180712207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine