Individual
KEAH HORSFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
941 E 103RD ST, BROOKLYN, NY 11236-2813
(718) 902-9443
Mailing address
941 E 103RD ST, BROOKLYN, NY 11236-2813
(718) 902-9443
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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