Individual
MRS. CYNTHIA B KEALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN BC PSYCH CLINIC
Contact information
Practice address
1919 MIDDLE COUNTRY RD, STE 202, CENTEREACH, NY 11720
(631) 589-1203
(631) 467-5105
Mailing address
129 HILL DRIVE, BOHEMIA, NY 11716
(631) 589-6631
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
4500
NY
163W00000X
Registered Nurse
Primary
2350651
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
F4000561
NY
Other
Enumeration date
11/17/2006
Last updated
09/11/2025
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