Mahoney, Keisha Antoinette

Mahoney, Keisha Antoinette is an sole proprietor health care provider with primary practice located at 20 Steven Pl , Smithtown NY 11787-5423. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mahoney, Keisha Antoinette can be contacted via phone (516) 754-0073.

Contact Information

Primary practice address
20 Steven Pl Smithtown NY 11787-5423
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 33339112 New York

Profile Details

NPI number 1255731501
LBN Legal business name Mahoney, Keisha Antoinette
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2014
Last updated Aug 23rd, 2014 - 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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