Keith Watkins LMSW

NPI 1720305220 - Social Worker - 104100000X

NPI Details
NPI 1720305220
Gender Male
Enumeration Date 04/23/2010
Last Updated 04/23/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
1727 N OCEAN AVE
MEDFORD NY, 11763-2649, US
Phone (631) 654-1919
Fax
Business Location
PO BOX 6
BRIGHTWATERS NY, 11718-0006, US
Phone (631) 654-1919
Fax
Toxanomy
Taxonomy Code 104100000X
License State New York
License Number 079475-1
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According to our database, Keith Watkins LMSW NPI is 1720305220, taxonomy code is 104100000X and license number is 079475-1, license state is located at New York. Keith Watkins LMSW physically located at 1727 N Ocean Ave, Medford NY, 11763-2649. NPI Number Keith Watkins LMSW has the Individual type.

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1720305220 NPI number is provided on an as is basis without warranty of any kind. 1720305220 is maintained by the National Plan & Provider Enumeration System. The contents of Keith Watkins LMSW are for informational purposes only.