Dutes, Keisha

Dutes, Keisha is an sole proprietor health care provider with primary practice located at 120 Buscher Ave , Valley Stream NY 11580-5309. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Dutes, Keisha can be contacted via phone (516) 840-1097.

Contact Information

Primary practice address
120 Buscher Ave Valley Stream NY 11580-5309
Phone: (516) 840-1097
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 262060 New York

Profile Details

NPI number 1598989345
LBN Legal business name Dutes, Keisha
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 12th, 2007
Last updated Jul 9th, 2007 - about 18 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 1598989345 NPPES
New York MEDICAID 02814973

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