Individual
ANDREA MICHELLE KELTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
6500 JERICHO TPKE STE 217, COMMACK, NY 11725-2907
(631) 543-8877
Mailing address
16 EXECUTIVE DR, HAUPPAUGE, NY 11788-2116
(631) 335-6163
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
113902
NY
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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