Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jennifer Keller

Individual provider Physical Disabilities Residential Treatment Facility · NPI 1578821385

Jennifer Keller is a Physical Disabilities Residential Treatment Facility in Peconic, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012
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Practice location Address checks out

1190 Arrowhead Ln
Peconic, NY 11958-1602
Phone: (631) 680-2010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Disabilities Residential Treatment Facility (primary) Taxonomy 320700000X · Licence 494793 (NY)

Record details

NPI number1578821385
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 30, 2012
Last updated in NPPESApril 30, 2012