Individual provider · Type 1 NPI
Keith Alan Chadwick, MD, MS
Otolaryngology Physician · Lake Grove, NY
Practice location
4 Smith Haven Mall Ste 200
Lake Grove, NY 11755-1219
Fax (631) 444-4189
Mailing address
PO Box 1559
Stony Brook, NY 11790-0989
Other practice locations
- 37 Research Way, East Setauket, NY 11733-3465 · (631) 444-4545
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | PG168015 (OR) |
| Student in an Organized Health Care Education/Training Program | 390200000X | 0116025714 (VA) |
| Otolaryngology Physician Primary | 207Y00000X | 294203 (NY) |
Otolaryngology Physician: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…
Another provider at this address
About NPI 1487091328
Keith Alan Chadwick, MD, MS's National Provider Identifier is 1487091328, issued on Jun 2, 2013. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in Lake Grove, NY. The record was last updated on Feb 15, 2026.