Individual
CARYN KETTERINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
110 LAFAYETTE ST, 5TH FLOOR, NEW YORK, NY 10013-4116
(212) 369-6757
(212) 369-3941
Mailing address
110 LAFAYETTE ST, 5TH FLOOR, NEW YORK, NY 10013-4116
(212) 369-6757
(212) 369-3941
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401718
NY
Other
Enumeration date
10/26/2015
Last updated
09/30/2016
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