Dawn Renee Keenan is a Specialist based in Massapequa, NY. Dawn Renee Keenan practices in Massapequa, NY. The NPI Number for Dawn Renee Keenan is 1619360823 and holds a License No. (New York).
The current practice location address for Dawn Renee Keenan is 36 Elm St, Massapequa, NY and can be reached out via phone at 516-242-4594.
Location: 36 Elm St, Massapequa, NY, 11758-5701
Provider Profile Details
NPI Number
1619360823
Provider Name
Dawn Renee Keenan
Credential
Provider Entity Type
Individual
Gender
Female
Address
36 Elm St, Massapequa, NY, 11758-5701
Phone Number
516-242-4594
Fax Number
Provider Enumeration Date
03/12/2015
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 252Y00000X | 05 | NY | |
| 1700208709 | 05 | NY |
Provider Business Practice Location Address Details
Address
36 Elm St
City
State
Zip
11758-5701
Phone Number
516-242-4594
Fax Number
Provider Business Mailing Address Details
Address
36 Elm St
City
State
Zip
11758-5701
Phone Number
516-242-4594
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
(New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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