Individual
ELIZABETH KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
157 DEER PARK AVE, BABYLON, NY 11702-2830
(631) 213-7190
Mailing address
28 PAUMANAKE AVE, BABYLON, NY 11702-1910
(631) 213-7190
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
012648
NY
133V00000X
Registered Dietitian
Primary
012648
NY
Other
Enumeration date
04/03/2025
Last updated
07/02/2025
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