Provider Demographics
NPI:1164859914
Name:ANSTEY, KERYLEE
Entity Type:Individual
Prefix:
First Name:KERYLEE
Middle Name:
Last Name:ANSTEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 DOWNING AVE
Mailing Address - Street 2:
Mailing Address - City:SEA CLIFF
Mailing Address - State:NY
Mailing Address - Zip Code:11579-2055
Mailing Address - Country:US
Mailing Address - Phone:516-671-0501
Mailing Address - Fax:
Practice Address - Street 1:101 DOWNING AVE
Practice Address - Street 2:
Practice Address - City:SEA CLIFF
Practice Address - State:NY
Practice Address - Zip Code:11579-2055
Practice Address - Country:US
Practice Address - Phone:516-671-0501
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-10
Last Update Date:2014-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist