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1487094645
GERALDINE M KELLY
VALLEY STREAM, NY
NPI
1487094645
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY F306515)
Enumeration Date
2013-07-02
Last Update Date
2014-10-29
Business Address
Ms. GERALDINE M KELLY Nurse Practitioner
11 SANDALWOOD AVE APT. #2
VALLEY STREAM, NY 11581-2079
Phone number: 917-903-6498
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Mailing Address
Ms. GERALDINE M KELLY Nurse Practitioner
11 SANDALWOOD AVE APT. #2
VALLEY STREAM, NY 11581-2079
Phone number: 917-903-6498
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