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Kelly Heraghty
Family Nurse Practitioner in West Islip, New York
NPI 1609423821

Kelly Heraghty is a Family Nurse Practitioner based in Levittown, NY and is specialized in Family. Kelly Heraghty practices in West Islip, NY. The NPI Number for Kelly Heraghty is 1609423821 and holds a License No. 344263 (New York).

The current practice location address for Kelly Heraghty is 1175 Montauk Hwy, West Islip, NY and can be reached out via phone at 631-376-0001.

Location: 1175 Montauk Hwy, West Islip, NY, 11756-2130
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609423821
Provider Name
Kelly Heraghty
Credential
Provider Entity Type
Individual
Gender
Female
Address
1175 Montauk Hwy, West Islip, NY, 11756-2130
Phone Number
631-376-0001
Fax Number
Provider Enumeration Date
08/22/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1175 Montauk Hwy
City
West Islip
State
New York
Zip
11795-4939
Phone Number
631-376-0001
Fax Number
person
Provider Business Mailing Address Details
Address
1175 Montauk Hwy
City
West Islip
State
New York
Zip
11795-4939
Phone Number
631-376-0001
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
344263 (New York)
Definition
Definition to come...
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