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1154908390
MARY KATHRYN HORAN
WEST ISLIP, NY
NPI
1154908390
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 026500)
Enumeration Date
2021-03-25
Last Update Date
2021-03-25
Business Address
MARY KATHRYN HORAN PA
500 MONTAUK HWY
WEST ISLIP, NY 11795-4418
Phone number: 631-422-9100
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Mailing Address
MARY KATHRYN HORAN PA
10 ROBIN RD
DIX HILLS, NY 11746-7810
Phone number: 631-525-7318
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