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Individual

MOR KESHET

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MPS, LCAT

Contact information

Practice address
181 MAIN ST, HUNTINGTON, NY 11743-6918
(631) 759-8278
Mailing address
4 MEROKE CT, HUNTINGTON STATION, NY 11746-2014

Taxonomy

Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
002308
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
002308
NEW YORK STATE OFFICE OF THE PROFESSIONS
NY
Enumeration date
03/13/2019
Last updated
06/11/2019
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