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Organization

KEYSTONE NP IN PSYCHIATRY PLLC

Active
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Organization

KEYSTONE NP IN PSYCHIATRY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KENECHUKWU EZEANYA (OWNER)
(732) 558-9625
Entity
Organization

Contact information

Practice address
310 LENOX AVE, NEW YORK, NY 10027-4449
(732) 558-9625
(973) 548-9450
Mailing address
1311 ALLEN RD, SOMERSET, NJ 08873-7488
(732) 558-9625
(973) 548-9450

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—

Other

Enumeration date
08/24/2026
Last updated
08/24/2026
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