Individual
NOREEN KEENAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
99 CAMPBELL AVE, TAPPAN, NY 10983-2107
(646) 596-6705
Mailing address
99 CAMPBELL AVE, TAPPAN, NY 10983-2107
(646) 596-6705
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
516045-1
NY
Other
Enumeration date
10/31/2017
Last updated
10/31/2017
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