Individual
MISS DEIRDRE MARIE KEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2959 GRAND CONCOURSE APT 2, BRONX, NY 10468-1443
(917) 617-6823
Mailing address
2959 GRAND CONCOURSE APT 2, BRONX, NY 10468-1443
(917) 617-6823
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
649306
NY
363LF0000X
Family Nurse Practitioner
Primary
341703
NY
Other
Enumeration date
02/24/2016
Last updated
08/09/2017
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