Individual
JACQUELYN KEYASKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
325 W 15TH ST, NEW YORK, NY 10011-5903
(212) 604-6000
Mailing address
150 E 42ND ST FL 10, NEW YORK, NY 10017-5612
(212) 987-3100
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
433073
NY
Other
Enumeration date
09/23/2024
Last updated
03/26/2025
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