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Keisha Brown, CNA

Nurse's Aide in Springfield Gardens, NY. Individual provider (NPI-1).

NPI number1285979740
StatusActive
Last updated in NPPESDec 10, 2012

Details

NPI
1285979740
Entity type
Individual (NPI-1)
Name
Keisha Brown
Credential
CNA
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 10, 2012
Last updated
Dec 10, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
376K00000X Nurse's Aide343040001110ENYYes

Practice location

14715 223rd St
Springfield Gardens, NY 11413-4143

Phone 718-598-8362

Mailing address

14715 223rd St
Springfield Gardens, NY 11413-4143

Phone 718-598-8362

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