Dr. Keith Joseph Dahl
Internist Gastroenterologist
1050 Clove Rd
Staten Island
, New York 10301-3627
Dr. Keith Joseph Dahl
Internist Gastroenterologist
1050 Clove Rd
Staten Island
, New York 10301-3627
(516) 542-5556
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About
Features
Specialties
- Internist
- Gastroenterologist
Languages spoken
- English
Location
First Address
- Dr. Keith Joseph Dahl
- 55 Water St 2nd Floor Cred Dept
- New York, NY
- Zip : 10041-0004
- Fax : (516) 542-5556
- Phone : (646) 680-2888
Second Address
- Dr. Keith Joseph Dahl
- 1050 Clove Rd
- Staten Island, NY
- Zip : 10301-3627
- Fax : (718) 816-3656
- Phone : (718) 816-6440
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 248916 | NY |
| N | 111NI0900X | Internist | 248916 | NY |
| Y | 207RG0100X | Gastroenterologist | 248916 | NY |
National Provider Identifier
| NPI | 1043479033 |
|---|---|
| Provider Name | Dr. Keith Joseph Dahl |
| First Address | New York, NY 10041-0004 |
| Second Address | Staten Island, NY 10301-3627 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/06/2008 |
| Last Update Date | 21/09/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 03347000 | (05) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.