Individual
DEBORAH A KEENAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 PARK STREET, GLENS FALLS, NY 12801
(518) 926-2540
Mailing address
109 SARATOGA AVENUE APT #1, SOUTH GLENS FALLS, NY 12803
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
050280
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050280
NY STATE LICENSE
NY
Enumeration date
11/17/2006
Last updated
07/08/2007
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