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1275557852
SAMANTHA A. KELLY
ROCKVILLE CENTRE, NY
NPI
1275557852
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NY 487061)
Enumeration Date
2006-07-27
Last Update Date
2007-07-08
Business Address
Ms. SAMANTHA A. KELLY CRNA
1000 N. VILLAGE AVE
ROCKVILLE CENTRE, NY 11570
Phone number: 516-705-1200
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Mailing Address
Ms. SAMANTHA A. KELLY CRNA
194-04 111TH ROAD
ST. ALBANS, NY 11412-2019
Phone number: 718-479-0245
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