Individual
CORA KEITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
230 NORTH RD, POUGHKEEPSIE, NY 12601-1328
(845) 486-2864
Mailing address
228 MANSION ST, POUGHKEEPSIE, NY 12601-2629
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
600544
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1489
—
NY
Enumeration date
10/24/2019
Last updated
10/24/2019
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