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1144745258
DANIELLE J KELLY
STONY BROOK, NY
NPI
1144745258
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY 307817)
Enumeration Date
2017-08-09
Last Update Date
2017-08-09
Business Address
DANIELLE J KELLY NP
STONY BROOK MEDICINE 101 NICOLLS ROAD
STONY BROOK, NY 11794-0001
Phone number: 631-444-2066
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Mailing Address
DANIELLE J KELLY NP
12 FAWN LN W
SOUTH SETAUKET, NY 11720-1347
Phone number: 631-402-4120
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