Healthcare Provider Details

I. General information

NPI: 1821112814
Provider Name (Legal Business Name): HELENE M KEABLE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/17/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2920 BROADWAY ALFRED LERNER HALL MAIL CODE 3601
NEW YORK NY
10027-7004
US

IV. Provider business mailing address

240 E 86TH ST APT 20 D
NEW YORK NY
10028-3000
US

V. Phone/Fax

Practice location:
  • Phone: 212-854-2878
  • Fax: 212-854-9473
Mailing address:
  • Phone: 212-472-6358
  • Fax: 646-314-4218

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number227416
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number227416
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number227416
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: