Individual
MISS KAMELY KEISHA ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA/L
Contact information
Practice address
236 NEPTUNE AVE, BROOKLYN, NY 11235-6302
(718) 769-2698
(718) 943-7035
Mailing address
480 LEFFERTS AVE, BROOKLYN, NY 11225-4549
(718) 484-7806
(347) 435-3172
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
006757
NY
Other
Enumeration date
03/15/2010
Last updated
04/22/2010
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