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1467157297
KERRIE SHEA ROTH
COMMACK, NY
NPI
1467157297
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Former Name
KERRIE SHEA CAHALIN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 350446)
Enumeration Date
2023-04-03
Last Update Date
2024-12-26
Business Address
Mrs. KERRIE SHEA ROTH NP
650 COMMACK RD
COMMACK, NY 11725-5404
Phone number: 212-639-2000
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Mailing Address
Mrs. KERRIE SHEA ROTH NP
2015 ORINOCO DR
WEST ISLIP, NY 11795-2515
Phone number: 631-645-5633
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