KACEY JOHANNAH PRYZBY

SOUTHAMPTON, NY
NPI1295213700
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy208000000X Pediatrics
(Licence: NY  382897)
Enumeration Date2018-08-06
Last Update Date2018-08-06
Business Address
KACEY JOHANNAH PRYZBY PNP
444 N SEA RD
SOUTHAMPTON, NY 11968-2057
Phone number: 631-283-4843
Mailing Address
KACEY JOHANNAH PRYZBY PNP
444 N SEA RD
SOUTHAMPTON, NY 11968-2057
Phone number: 631-283-4843