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Organization
RED ROAD MEDICAL PC
Active
Organization
RED ROAD MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLIE CAREY (MANAGER)
(516) 729-8606
Entity
Organization
Contact information
Practice address
317 W 54TH ST APT D, NEW YORK, NY 10019-7504
(212) 787-1877
Mailing address
317 W 54TH ST APT D, NEW YORK, NY 10019-7504
(212) 787-1877
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/13/2021
Last updated
04/15/2021
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