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Individual

KETNIE V ARISTIDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
221 RIVER ST STE 9, HOBOKEN, NJ 07030-5990
(201) 308-8252
Mailing address
170 WILLIAM ST, NEW YORK, NY 10038-2612

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
7588191
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ01454100
NJ

Other

Enumeration date
05/03/2019
Last updated
03/13/2023
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