Individual provider · Type 1 NPI
Elizabeth Keane, PA
Medical Physician Assistant · Sound Beach, NY
NPI number
1043824816
Active
Practice location
25 Hollis Dr
Sound Beach, NY 11789-1629
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 025532 (NY) |
Medical Physician Assistant: Definition to come...
About NPI 1043824816
Elizabeth Keane, PA's National Provider Identifier is 1043824816, issued on Aug 31, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Sound Beach, NY. The record was last updated on Aug 31, 2020.