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NPI Code Detail

MEDICARE: KATELYN SHANKEY-SELTZER

MEDICARE: KATELYN SHANKEY-SELTZER
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
1101YM0800XMental Health Counselor007131NY

General Provider Information

NPI Number : 1073927513
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATELYN SHANKEY-SELTZER
Provider Business Mailing Address
First Line : 11132 76TH AVE APT 2A
Second Line :
City : FOREST HILLS
State : NY
Zip : 11375-6402
Country : US
Telephone Number : 845-709-0164
Fax Number :
Provider Business Practice Location Address
First Line : 205 HUDSON ST FL 9
Second Line :
City : NEW YORK
State : NY
Zip : 10013-1810
Country : US
Telephone Number : 646-941-7645
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2014
Last Update Date : 09/30/2024

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Directions to “ KATELYN SHANKEY-SELTZER ” Practice Location

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