person
Keith Adam Krupa, LPN
Adult Psychiatric/Mental Health Registered Nurse in Port Jefferson, New York
NPI 1376157388

Keith Adam Krupa is an Adult Psychiatric/Mental Health Registered Nurse based in Hauppauge, NY and is specialized in Psychiatric/Mental Health, Adult. Keith Adam Krupa practices in Port Jefferson, NY and has the professional credentials of LPN. The NPI Number for Keith Adam Krupa is 1376157388 and holds a License No. 893109 (New York).

The current practice location address for Keith Adam Krupa is 19 Laurita Gate, Port Jefferson, NY and can be reached out via phone at 631-413-1717.

Location: 19 Laurita Gate, Port Jefferson, NY, 11788-3974
person
Provider Profile Details
NPI Number
1376157388
Provider Name
Keith Adam Krupa
Credential
LPN
Provider Entity Type
Individual
Gender
Male
Address
19 Laurita Gate, Port Jefferson, NY, 11788-3974
Phone Number
631-413-1717
Fax Number
Provider Enumeration Date
09/08/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
19 Laurita Gate
City
State
Zip
11777-2113
Phone Number
631-413-1717
Fax Number
person
Provider Business Mailing Address Details
Address
19 Laurita Gate
City
State
Zip
11777-2113
Phone Number
631-413-1717
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health, Adult
Taxonomy
License No.
893109 (New York)
Definition
Definition to come...
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