Organization
KEYSTONE NEUROSENSORY CENTERS,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANE HABERKERN (OFFICE MANAGER)
(570) 763-0054
Entity
Organization
Contact information
Practice address
250 PIERCE ST, SUITE 317, KINGSTON, PA 18704-5149
(570) 763-0054
(570) 763-0056
Mailing address
250 PIERCE ST, SUITE 317, KINGSTON, PA 18704-5149
(570) 763-0054
(570) 763-0056
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
08/07/2007
Last updated
05/01/2009
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