| Keith A Siller Md Pc | |
|
2200 Northern Blvd Ste 128 Greenvale NY 11548-1221 | |
| (646) 413-3148 | |
| Not Available |
| Full Name | Keith A Siller Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2200 Northern Blvd Ste 128, Greenvale, New York |
| Authorized Official Name and Position | Keith Siller (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 6464133148 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Keith A Siller Md Pc 2200 Northern Blvd Ste 128 Greenvale NY 11548-1221 Ph: (646) 413-3148 | Keith A Siller Md Pc 2200 Northern Blvd Ste 128 Greenvale NY 11548-1221 Ph: (646) 413-3148 |
| NPI Number | 1366944688 |
|---|---|
| Provider Enumeration Date | 03/02/2018 |
| Last Update Date | 03/02/2018 |
| Medicare PECOS PAC ID | 0648526210 |
|---|---|
| Medicare Enrollment ID | O20180712000603 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366944688 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Keith A Siller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992714927 PECOS PAC ID: 8022132075 Enrollment ID: I20100828000002 |
Punam Prabhakar Md Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2200 Northern Blvd Ste 128, Greenvale, NY 11548 Phone: 917-224-4496 |