Individual
KEREN DENIS JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16 DISCO DR, MIDDLETOWN, NY 10941
(845) 673-5786
Mailing address
16 DISCO DR, MIDDLETOWN, NY 10941-1632
(845) 673-5786
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
31432001
NY
311ZA0620X
Adult Care Home Facility
Primary
3143201
NY
311ZA0620X
Adult Care Home Facility
31443201
NY
Other
Enumeration date
05/29/2013
Last updated
05/29/2013
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