Individual
KEISHA SCARLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
423 E 23RD ST, NEW YORK, NY 10010-5011
(212) 686-7500
Mailing address
99 S GROVE ST APT 1B, VALLEY STREAM, NY 11580-6311
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
018700
NY
Other
Enumeration date
06/05/2018
Last updated
06/05/2018
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