Individual
GINA M. KEEP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
119 NEW YORK AVE, MASSAPEQUA, NY 11758-4601
(516) 799-2555
(516) 799-2595
Mailing address
119 NEW YORK AVE, MASSAPEQUA, NY 11758-4601
(516) 799-2555
(516) 799-2595
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F333921-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0145G1
BLUECROSS BLUESHIELD
NY
05
—
02433750
—
NY
Enumeration date
12/28/2005
Last updated
06/02/2022
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