Keller, Jennifer

Keller, Jennifer is an sole proprietor health care provider with primary practice located at 1190 Arrowhead Ln , Peconic NY 11958-1602. She recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities, which is considered as her primary health care specialty. Keller, Jennifer can be contacted via phone (631) 680-2010.

Contact Information

Primary practice address
1190 Arrowhead Ln Peconic NY 11958-1602
Phone: (631) 680-2010
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities 320700000X 494793 New York

Profile Details

NPI number 1578821385
LBN Legal business name Keller, Jennifer
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 30th, 2012
Last updated Apr 30th, 2012 - about 14 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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