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NPI Code Detail

MEDICARE: KEITH A MOBILIA DPM

MEDICARE:   KEITH A MOBILIA  DPM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213E00000XPodiatristN0038671NY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15A400010844OTHERNYMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1164458OTHERNYELDERPLAN
24055380001OTHERMADMEPOS
30C8319OTHERNYHEALTHNET
40061975OTHERNYGHI
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6P39911OTHERNYEMPIRE BLUE CROSS BLUE SH
70085622OTHERNYAETNA
827-82066OTHERNYEVERCARE
9N003867-B11OTHERNYHEALTH FIRST
10133270701OTHERNYUNITED HEALTHCARE
116344716004OTHERNMCIGNA
12P89785OTHERPAAMERIHEALTH
13133270701OTHERNYMAGNACARE
14196810404877OTHERKYHUMANA
16P402905OTHERNYOXFORD HEALTH PLAN

General Provider Information

NPI Number : 1396718417
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEITH A MOBILIA DPM
Provider Business Mailing Address
First Line : 2338 RICHMOND RD
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10306-2346
Country : US
Telephone Number : 718-979-1333
Fax Number : 718-351-3215
Provider Business Practice Location Address
First Line : 2338 RICHMOND RD
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10306-2346
Country : US
Telephone Number : 718-979-1333
Fax Number : 718-351-3215
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2006
Last Update Date : 07/23/2024

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Directions to “ KEITH A MOBILIA DPM” Practice Location

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