Keegan, Dianne

Keegan, Dianne is an sole proprietor health care provider with primary practice located at 620 Suffolk Ave , Brentwood NY 11717-4304. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Keegan, Dianne can be contacted via phone (631) 434-3232.

Contact Information

Primary practice address
620 Suffolk Ave Brentwood NY 11717-4304
Phone: (631) 434-3232
Fax: (631) 265-2559
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 002479 New York

Profile Details

NPI number 1023144417
LBN Legal business name Keegan, Dianne
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2007
Last updated Sep 21st, 2011 - about 15 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 1023144417 NPPES
New York Other 4619610 AETNA
New York Other Q51712 AETNA

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