Individual
AYANA KEELING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18 3RD PL, ROOSEVELT, NY 11575-1640
(516) 712-9744
Mailing address
18 3RD PL, ROOSEVELT, NY 11575-1640
(516) 712-9744
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
730118
NY
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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