Keck, Molly Lee

Keck, Molly Lee is an individual health care provider with primary practice located at 133 Aviation Rd , Queensbury NY 12804-8206. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Keck, Molly Lee can be contacted via phone (518) 798-0170.

Contact Information

Primary practice address
133 Aviation Rd Queensbury NY 12804-8206
Phone: (518) 798-0170
Fax: (518) 761-9538
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X

Profile Details

NPI number 1699047720
LBN Legal business name Keck, Molly Lee
Credentials MS, OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2012
Last updated Aug 7th, 2015 - about 10 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 1699047720 NPPES
New York MEDICAID 00752456

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