Individual
ATHENA KERIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5000 AVENUE K, BROOKLYN, NY 11234-2202
(718) 250-8259
Mailing address
2 CATHARINE ST, P O BOX 550, POUGHKEEPSIE, NY 12601-3100
(845) 790-2661
(845) 790-2675
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
535903
NY
367H00000X
Anesthesiologist Assistant
535903-1
NY
Other
Enumeration date
05/06/2014
Last updated
05/01/2018
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