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Individual

KETSIA NOEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
50 CLINTON ST, HEMPSTEAD, NY 11550-4281
(516) 933-0485
(516) 933-1923
Mailing address
612 LEONARD AVE, UNIONDALE, NY 11553-2525
(516) 385-6278

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2257791

Other

Enumeration date
01/31/2016
Last updated
01/31/2016
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