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General NPI Number Information
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NPI Number | 1992714927
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Entity Type | Individual
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Provider Name | KEITH SILLER M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/07/2006
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Last Update Date | 06/12/2024
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Provider Practice Location Address
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Address Line | 2200 NORTHERN BLVD STE 128
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City | GREENVALE
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State | NY
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Zip | 11548-1221
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Country | US
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Telephone | 212-263-1485
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Fax | 212-263-7871
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Provider Business Mailing Address
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Address Line | 2200 NORTHERN BLVD STE 128
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City | GREENVALE
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State | NY
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Zip | 11548-1221
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Country | US
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Telephone | 212-263-1485
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Fax | 212-263-7871
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 77681
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 183913-1
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License Number State | NY
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