Individual
KEITH PLATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRPA
Contact information
Practice address
90 ADAMS AVE, HAUPPAUGE, NY 11788-3631
(631) 219-6231
Mailing address
35 ELLIOTT PL APT 6B, SMITHTOWN, NY 11787-2738
(631) 219-6231
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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