Individual
MRS. EMMA J KEPPEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1111 AMSTERDAM AVE, NEW YORK, NEW YORK, NY 10025-1716
(212) 636-3400
(212) 636-3297
Mailing address
116 44 168 STREET, ST. ALBAN'S, NEW YORK, NY 11434
(917) 399-1345
(212) 636-3297
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F302260-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F302260-1
LICENSE NUMBER
NY
Enumeration date
02/09/2007
Last updated
07/08/2007
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