Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | X0081661 | NY |
NPI | 1649390634 |
---|---|
Provider Name | Dr. Keri K Chiappino |
First Address | Smithtown, NY 11787-2857 |
Second Address | Smithtown, NY 11787-2857 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2007 |
Last Update Date | 28/10/2020 |