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Individual

MS. KELLY ANN O'TOOLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
4 TECHNOLOGY DR STE 210, EAST SETAUKET, NY 11733-4068
(631) 331-1506
(631) 331-5364
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 331-1506
(631) 331-5364

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
309897
NY

Other

Enumeration date
11/05/2020
Last updated
01/09/2021
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