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Mrs. Kerrie Shea Roth, NP
Family Nurse Practitioner in New Hyde Park, New York
NPI 1467157297

Kerrie Shea Roth is a Family Nurse Practitioner based in West Islip, NY and is specialized in Family. Kerrie Shea Roth practices in New Hyde Park, NY and has the professional credentials of NP. The NPI Number for Kerrie Shea Roth is 1467157297 and holds a License No. 350446 (New York).

The current practice location address for Kerrie Shea Roth is 1991 Marcus Ave Ste M100, New Hyde Park, NY and can be reached out via phone at 631-645-5633.

Location: 1991 Marcus Ave Ste M100, New Hyde Park, NY, 11795-2515
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467157297
Provider Name
Kerrie Shea Roth
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1991 Marcus Ave Ste M100, New Hyde Park, NY, 11795-2515
Phone Number
631-645-5633
Fax Number
Provider Enumeration Date
04/03/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1991 Marcus Ave Ste M100
City
New Hyde Park
State
New York
Zip
11042-2062
Phone Number
631-645-5633
Fax Number
person
Provider Business Mailing Address Details
Address
1991 Marcus Ave Ste M100
City
New Hyde Park
State
New York
Zip
11042-2062
Phone Number
631-645-5633
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
350446 (New York)
Definition
Definition to come...
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