Individual
KERI CHALOUPKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
77 N CENTRE AVE STE 202, ROCKVILLE CENTRE, NY 11570-3923
(516) 764-7246
Mailing address
38 ONTARIO AVE, MASSAPEQUA, NY 11758-3836
(516) 458-9969
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
308036
NY
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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