Keegan Corbett, | |
108 Commodore Cir, Port Jefferson Station, NY 11776-2266 | |
(802) 681-8317 | |
Not Available |
Full Name | Keegan Corbett |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 108 Commodore Cir, Port Jefferson Station, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659111334 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 744385-01 (New York) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 151335 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Keegan Corbett, 108 Commodore Cir, Port Jefferson Station, NY 11776-2266 Ph: () - | Keegan Corbett, 108 Commodore Cir, Port Jefferson Station, NY 11776-2266 Ph: (802) 681-8317 |
Ruth Quinones-weisbrod, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3 Fairway Dr, Port Jefferson Station, NY 11776 Phone: 631-626-3313 | |
Mrs. Laura Pavel Ketelsen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5316 Nesconset Hwy, Port Jefferson Station, NY 11776 Phone: 833-660-7246 |