Provider Demographics
NPI:1568695187
Name:O'KEEFE, MAUREEN (NP)
Entity Type:Individual
Prefix:MS
First Name:MAUREEN
Middle Name:
Last Name:O'KEEFE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:MAUREEN
Other - Middle Name:
Other - Last Name:BILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:300 COMMUNITY DRIVE
Mailing Address - Street 2:
Mailing Address - City:MANHASSET
Mailing Address - State:NY
Mailing Address - Zip Code:11030
Mailing Address - Country:US
Mailing Address - Phone:516-562-4305
Mailing Address - Fax:516-562-1516
Practice Address - Street 1:300 COMMUNITY DRIVE
Practice Address - Street 2:
Practice Address - City:MANHASSET
Practice Address - State:NY
Practice Address - Zip Code:11030
Practice Address - Country:US
Practice Address - Phone:516-562-4305
Practice Address - Fax:516-562-1516
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-30
Last Update Date:2011-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF304962-1363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health