Provider Demographics
NPI:1992055370
Name:KEENEY-BOWE, HOPE MARIE
Entity type:Individual
Prefix:MRS
First Name:HOPE
Middle Name:MARIE
Last Name:KEENEY-BOWE
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 1:340 FERNDALE BLVD
Mailing Address - Street 2:
Mailing Address - City:ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11751-1920
Mailing Address - Country:US
Mailing Address - Phone:631-650-7367
Mailing Address - Fax:
Practice Address - Street 1:340 FERNDALE BLVD
Practice Address - Street 2:
Practice Address - City:ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11751-1920
Practice Address - Country:US
Practice Address - Phone:631-650-7367
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-13
Last Update Date:2012-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist