Individual
MR. CHRISTOPHER KEIBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1133 MONTAUK HWY, MASTIC, NY 11950-2918
(631) 399-0007
Mailing address
80 MAPLE AVE, BELLPORT, NY 11713-2018
(631) 428-0368
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
008649-1
NY
Other
Enumeration date
09/12/2013
Last updated
09/12/2013
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