SearchNew YorkPhysical Disabilities Residential Treatment Facility

Jennifer Keller

NPI 1578821385 · on the registry since 2012 · sole proprietor

Practice

Address
1190 Arrowhead Ln
Peconic, NY 11958
Phone
(631) 680-2010

Registry record

Primary taxonomy
Physical Disabilities Residential Treatment Facility
320700000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-04-30

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