Individual
HARRIETTE KEELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
580 GOOSE CREEK LANE,POB1937, SOUTHOLD, NY 11971-0945
(631) 765-8198
Mailing address
POB1937, SOUTHOLD, NY 11971-0945
(631) 765-8198
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
273021-1
NY
Other
Enumeration date
01/15/2010
Last updated
01/15/2010
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