MEDICARE: DR. JANET BUTERA KEEFE M.D.

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
1	207R00000X	Internal Medicine Physician	155737	NY

General Provider Information

NPI Number	:	1851683981
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JANET BUTERA KEEFE M.D.

Provider Business Mailing Address
First Line	:	188 COLUMBIA HTS
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11201-2105
Country	:	US
Telephone Number	:	718-522-6028
Fax Number	:	718-625-7138

Provider Business Practice Location Address
First Line	:	188 COLUMBIA HTS
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11201-2105
Country	:	US
Telephone Number	:	718-522-6028
Fax Number	:	718-625-7138

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/09/2011
Last Update Date	:	05/09/2011

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