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NPI Code Detail

MEDICARE: MRS. SHERI KELLER

MEDICARE: MRS. SHERI KELLER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist005690NY

General Provider Information

NPI Number : 1821395047
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHERI KELLER
Provider Business Mailing Address
First Line : 62 KRISTIN LN
Second Line :
City : HAUPPAUGE
State : NY
Zip : 11788-1235
Country : US
Telephone Number : 631-265-8007
Fax Number : 631-592-3904
Provider Business Practice Location Address
First Line : 525 HALF HOLLOW RD
Second Line :
City : DIX HILLS
State : NY
Zip : 11746-5828
Country : US
Telephone Number : 631-592-3047
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2011
Last Update Date : 02/24/2011

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Directions to “ MRS. SHERI KELLER ” Practice Location

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