Individual
CHARISSE KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2369 2ND AVE, NEW YORK, NY 10035-3108
(212) 876-2300
(212) 722-7618
Mailing address
2369 2ND AVE, NEW YORK, NY 10035-3108
(212) 876-2300
(212) 722-7618
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
802810-1
NY
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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