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James Edward Keough
Student in an Organized Health Care Education/Training Program in Port Jefferson, New York
NPI 1730930744

James Edward Keough is a Student in an Organized Health Care Education/Training Program based in Port Jefferson, NY. James Edward Keough practices in Port Jefferson, NY. The NPI Number for James Edward Keough is 1730930744 and holds a License No. (New York).

The current practice location address for James Edward Keough is 75 N Country Rd, Port Jefferson, NY and can be reached out via phone at 631-686-2549 and via fax at 631-476-2874.

Location: 75 N Country Rd, Port Jefferson, NY, 11777-2119
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730930744
Provider Name
James Edward Keough
Credential
Provider Entity Type
Individual
Gender
Male
Address
75 N Country Rd, Port Jefferson, NY, 11777-2119
Phone Number
631-686-2549
Fax Number
631-476-2874
Provider Enumeration Date
03/28/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
75 N Country Rd
City
Port Jefferson
State
New York
Zip
11777-2119
Phone Number
631-686-2549
Fax Number
631-476-2874
person
Provider Business Mailing Address Details
Address
75 N Country Rd
City
Port Jefferson
State
New York
Zip
11777-2119
Phone Number
631-686-2549
Fax Number
631-476-2874
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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