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1376523688
KELLY S DERCOLA
KINGSTON, NY
NPI
1376523688
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NY 195587-1)
Enumeration Date
2006-01-20
Last Update Date
2007-07-08
Business Address
-- KELLY S DERCOLA MD
368 BROADWAY
KINGSTON, NY 12401-5144
Phone number: 845-338-2727
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Mailing Address
-- KELLY S DERCOLA MD
368 BROADWAY
KINGSTON, NY 12401-5160
Phone number: 845-338-2727
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