Individual
ALEX RYAN KEHOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
367 BALDWIN PATH, DEER PARK, NY 11729-1414
(631) 838-9105
Mailing address
367 BALDWIN PATH, DEER PARK, NY 11729-1414
(631) 838-9105
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
117318
NY
1041C0700X
Clinical Social Worker
Primary
102883
NY
Other
Enumeration date
09/22/2022
Last updated
04/28/2026
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