Individual
JULIANA NICOLE KEENEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-5942
Mailing address
443 12TH ST APT 1H, BROOKLYN, NY 11215-5148
(516) 567-8134
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
017591
NY
Other
Enumeration date
08/20/2014
Last updated
04/18/2023
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