Individual
MISS KEYANA SHERRISE MCQUEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRPA-P
Contact information
Practice address
3600 ROUTE 112, CORAM, NY 11727-4116
(631) 920-8000
Mailing address
14202 20TH AVE, FLUSHING, NY 11351-3000
(917) 563-3350
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
NY
Other
Enumeration date
04/11/2022
Last updated
04/11/2022
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