KEITH MAGNUS WITT DO

NORTHERN VALLEY ANESTHESIOLOGY, P.A.

Dr KEITH MAGNUS WITT DO is a male medical professional, specializing in Anesthesiology. He graduated in 2002 from Lake Erie College Of Osteopathic Medicine.

Contact

NORTHERN VALLEY ANESTHESIOLOGY, P.A.

101 HOSPITAL RD
PATCHOGUE
NY
117724870

Tel: 6316547100

KEITH MAGNUS WITT DO Information

Npi 1518065481
Pac Id 4981600434
Professional Enrollment Id I20061006000183
Last Name WITT
First Name KEITH
Middle Name MAGNUS
Suffix
Gender M
Credential DO
Medical School Name LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year 2002
Primary Specialty ANESTHESIOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name NORTHERN VALLEY ANESTHESIOLOGY, P.A.
Group Practice Pac Id 0749194868
Number Of Group Practice Members 153
Line 1 Street Address 101 HOSPITAL RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City PATCHOGUE
State NY
Zip Code 117724870
Phone Number 6316547100
Hospital Affiliation Ccn 1 330141
Hospital Affiliation Lbn 1 BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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