Individual
KEISHA NICOLE COCKRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
245 E 124TH ST APT 5M, NEW YORK, NY 10035-2083
(646) 455-0246
Mailing address
245 E 124TH ST APT 5M, NEW YORK, NY 10035-2083
(646) 455-0246
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/21/2017
Last updated
07/21/2022
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