Provider Demographics
NPI:1275788556
Name:APPLE, KERI (MSPT)
Entity Type:Individual
Prefix:MRS
First Name:KERI
Middle Name:
Last Name:APPLE
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:467 ARIZONA AVE
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-1405
Mailing Address - Country:US
Mailing Address - Phone:516-319-9701
Mailing Address - Fax:
Practice Address - Street 1:467 ARIZONA AVE
Practice Address - Street 2:
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570-1405
Practice Address - Country:US
Practice Address - Phone:516-319-9701
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-30
Last Update Date:2008-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014976-1174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist