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1851991194
KATELYN ALYSSA DOHERTY
EAST SETAUKET, NY
NPI
1851991194
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NY F309820-01)
Enumeration Date
2020-10-27
Last Update Date
2021-11-02
Business Address
KATELYN ALYSSA DOHERTY NP
45 RESEARCH WAY STE 108
EAST SETAUKET, NY 11733-6401
Phone number: 631-941-2000
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Mailing Address
KATELYN ALYSSA DOHERTY NP
5 EVA LN
FARMINGVILLE, NY 11738-1010
Phone number: 631-624-7943
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