Individual
MIRIAM F. KEENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 HEALTHY WAY, OCEANSIDE, NY 11572-1551
(516) 632-3000
Mailing address
1 HEALTHY WAY, OCEANSIDE, NY 11572-1551
(516) 632-3000
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
F308962-1
NY
Other
Enumeration date
08/05/2019
Last updated
09/06/2019
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