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Individual
KERRI ELIZABETH BUCH ELSABROUT
Active
Individual
KERRI ELIZABETH BUCH ELSABROUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
524378
NY
363LF0000X
Family Nurse Practitioner
Primary
F3344214
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02665709
—
NY
Enumeration date
02/23/2006
Last updated
12/31/2014
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