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Keisha Joseph-brister
Mental Health Counselor in Coram, New York
NPI 1245794338

Keisha Joseph-brister is a Mental Health Counselor based in Flushing, NY and is specialized in Mental Health. Keisha Joseph-brister practices in Coram, NY. The NPI Number for Keisha Joseph-brister is 1245794338 and holds a License No. (New York).

The current practice location address for Keisha Joseph-brister is 3600 Route 112, Coram, NY and can be reached out via phone at 631-920-8306 and via fax at 631-920-8466.

Location: 3600 Route 112, Coram, NY, 11351-3000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245794338
Provider Name
Keisha Joseph-brister
Credential
Provider Entity Type
Individual
Gender
Female
Address
3600 Route 112, Coram, NY, 11351-3000
Phone Number
631-920-8306
Fax Number
631-920-8466
Provider Enumeration Date
01/23/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03299096 05 NY
institution
Provider Business Practice Location Address Details
Address
3600 Route 112
City
Coram
State
New York
Zip
11727-4116
Phone Number
631-920-8306
Fax Number
631-920-8466
person
Provider Business Mailing Address Details
Address
3600 Route 112
City
Coram
State
New York
Zip
11727-4116
Phone Number
631-920-8306
Fax Number
631-920-8466
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
(New York)
Definition
Definition to come...
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