Keri Divanian

NPI 1144926197 · on the registry since 2023 · sole proprietor

Practice

Address: 46 Route 25a Ste 3
Setauket, NY 11733
Phone: (631) 517-3345
Organisation at this address: Harold Joseph Md
Barry Rubin M.D.,P.C.
Gabrielle Fasano, Lcsw, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: Social Worker
104100000X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2023-02-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York