KELLY HERAGHTY

WEST ISLIP, NY
NPI1609423821
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  344263)
Enumeration Date2019-08-22
Last Update Date2019-08-22
Business Address
KELLY HERAGHTY
1175 MONTAUK HWY
WEST ISLIP, NY 11795-4939
Phone number: 631-376-0001
Mailing Address
KELLY HERAGHTY
40 KINGFISHER RD
LEVITTOWN, NY 11756-2130
Phone number: 516-395-4465
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