MARYELLEN KEENAN


Address: 153 W 12th St, New York, NY 10011-8201
Phone: 2126048177

MARYELLEN KEENAN (NPI# 1851540272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851540272
Entity Type Individual
Full Name MARYELLEN KEENAN
Practice Address 153 W 12th St
New York
NY 10011-8201
Practice Telephone 2126048177
Practice Fax Number 2126047568
Mailing Telephone 2126048177
Mailing Fax Number 2126047568
Enumeration Date 2008-09-10
Last Update Date 2008-09-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP0809X Registered Nurse
Specialization: Psych/Mental Health, Adult
329271 NY Nursing Service Providers

Office Location

Street Address 153 W 12TH ST
City NEW YORK
State NY
Zip Code 10011-8201

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Taxonomy Information

Taxonomy Code 163WP0809X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Psych/Mental Health, Adult

Taxonomy Definition

Definition to come...

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Competitor

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City NEW YORK
Zip Code 10011

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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