Keatley, Scott

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

Contact Information

Primary practice address
596 Broadway Ste 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 009107 New York
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X
Dietary & Nutritional Service Providers / Nutrition, Renal 133VN1005X 009107 New York
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X 009107 New York

Profile Details

NPI number 1619327129
LBN Legal business name Keatley, Scott
Credentials RD, CDN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2016
Last updated Jul 21st, 2022 - about 4 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 1619327129 NPPES
New York Other 6004111 AETNA
New York Other NU009107 AETNA
New York Other 009107 AETNA
New York Other 06090442 AETNA
New York Other 75762436 AETNA

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