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

Other providers in Rockaway Beach