Heraghty, Kelly

Heraghty, Kelly is an individual health care provider with primary practice located at 1175 Montauk Hwy , West Islip NY 11795-4939. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Heraghty, Kelly can be contacted via phone (631) 376-0001.

Contact Information

Primary practice address
1175 Montauk Hwy West Islip NY 11795-4939
Phone: (631) 376-0001
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 344263 New York

Profile Details

NPI number 1609423821
LBN Legal business name Heraghty, Kelly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2019
Last updated Aug 22nd, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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