KELLY ANN GODBERSON

MEDFORD, NY
NPI1053833962
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: NY  308240)
Enumeration Date2017-07-12
Last Update Date2017-07-12
Business Address
Mrs. KELLY ANN GODBERSON NP
3115 HORSEBLOCK RD
MEDFORD, NY 11763-2526
Phone number: 631-730-3000
Mailing Address
Mrs. KELLY ANN GODBERSON NP
32 MARLIN RD
CENTEREACH, NY 11720-3012
Phone number: 631-698-2823
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