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1700437860
KERRY MOGAVERO
ROOSEVELT, NY
NPI
1700437860
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 0054791)
Enumeration Date
2019-09-20
Last Update Date
2021-06-10
Business Address
KERRY MOGAVERO
380 WASHINGTON AVE
ROOSEVELT, NY 11575-1845
Phone number: 516-378-2000
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Mailing Address
KERRY MOGAVERO
2 LOTUS LN
WESTBURY, NY 11590-6321
Phone number: 516-996-0704
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