Individual
KEELY MAY CRAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 W 113TH ST APT 410, NEW YORK, NY 10025-1770
(703) 606-7531
Mailing address
400 W 113TH ST APT 1401, NEW YORK, NY 10025-2098
(703) 606-7531
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
714005
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
383125
NY
Other
Enumeration date
09/29/2020
Last updated
09/16/2024
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