Healthcare Provider Details

I. General information

NPI: 1184966434
Provider Name (Legal Business Name): KEILA REGINA VEIGA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2013
Last Update Date: 02/06/2024
Certification Date: 02/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 BRADHURST AVE
HAWTHORNE NY
10532-2140
US

IV. Provider business mailing address

40 SUNSHINE COTTAGE RD # 1N-B12
VALHALLA NY
10595-1524
US

V. Phone/Fax

Practice location:
  • Phone: 914-594-2270
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number284411
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2080P0216X
TaxonomyPediatric Rheumatology Physician
License Number284411
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: