Individual
MRS. CAROL LEE KELLERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
714 CYNTHIA DR, EAST MEADOW, NY 11554-4918
(516) 633-2368
(516) 414-0164
Mailing address
714 CYNTHIA DR, EAST MEADOW, NY 11554-4918
(516) 633-2368
(516) 414-0164
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/17/2013
Last updated
01/17/2013
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