Keatley, Gina Angel

Keatley, Gina Angel is an sole proprietor health care provider with primary practice located at 596 Broadway Suite 302, New York NY 10012-3396. She recently has 4 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Nutrition, Renal, Dietary & Nutritional Service Providers / Nutrition, Metabolic, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Keatley, Gina Angel can be contacted via phone (800) 571-8276.

Contact Information

Primary practice address
596 Broadway Suite 302 New York NY 10012-3396
Phone: (800) 571-8276
Fax: (888) 974-0289
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X 007594 New York
Dietary & Nutritional Service Providers / Nutrition, Renal 133VN1005X 007594 New York
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X 007594 New York
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 007594 New York

Profile Details

NPI number 1164775649
LBN Legal business name Keatley, Gina Angel
Credentials MBA, CDN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2012
Last updated Jul 10th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164775649 NPPES
Other P4751979 OXFORD
Other PH56000 OXFORD
Other NU007594-B85 OXFORD
Other 003588303001 OXFORD
Other 0000358830304 OXFORD
Other 3343362 OXFORD
Other 01901192 OXFORD
Other 126DB3 OXFORD
Other SEIU147289 OXFORD
Other 2305722 OXFORD
Other 9388910 OXFORD

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