Individual
KEELY MARVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
66 WASHINGTON DR, HIGHLAND MILLS, NY 10930-3030
(845) 928-2579
(845) 928-2729
Mailing address
PO BOX 368, CENTRAL VALLEY, NY 10917-0368
(845) 928-2579
(845) 928-2729
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/18/2012
Last updated
06/18/2012
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