Individual
MS. STEFANIE KEATING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-6930
Mailing address
1071 FORDHAM LN, WOODMERE, NY 11598-1013
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
430353
NY
Other
Enumeration date
08/06/2007
Last updated
06/19/2012
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