Keenan, Maryellen

Keenan, Maryellen is an individual health care provider with primary practice located at 153 W 12Th St , New York NY 10011-8201. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Keenan, Maryellen can be contacted via phone (212) 604-8177.

Contact Information

Primary practice address
153 W 12Th St New York NY 10011-8201
Fax: (212) 604-7568
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 329271 New York

Profile Details

NPI number 1851540272
LBN Legal business name Keenan, Maryellen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2008
Last updated Sep 10th, 2008 - about 16 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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