Individual
KERVEN EXANTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
231 06 125TH AVE, JAMAICA, NY 11413
(347) 600-7799
Mailing address
231 06 125TH AVE, JAMAICA, NY 11413
(347) 600-7799
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/06/2026
Last updated
02/13/2026
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