Individual
KERI IMBRIALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27 SHEBAR DR, ISLIP, NY 11751-4409
(631) 921-0374
Mailing address
27 SHEBAR DR, ISLIP, NY 11751-4409
(631) 921-0374
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
171W00000X
Contractor
—
NY
171W00000X
Contractor
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
02/26/2022
Last updated
02/26/2022
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