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

Mr. Keith John Tanner

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1295411064

Mr. Keith John Tanner is an Addiction (Substance Use Disorder) Counselor in Rockaway Beach, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2023

Practice location Address checks out

88-02 Rockaway Beach Blvd
Rockaway Beach, NY 11691
Phone: (718) 327-7002
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 38720 (NY)

Record details

NPI number1295411064
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 26, 2023
Last updated in NPPESJune 26, 2023
Certification dateJune 26, 2023
Mailing address88-02 Rockaway Beach Blvd, Rockaway Beach, NY 11691

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