Individual
KELLI DENISE PASHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
127 JAMIE ST, ISLIP TERRACE, NY 11752-1118
(631) 650-1112
Mailing address
127 JAMIE ST, ISLIP TERRACE, NY 11752-1118
(631) 650-1112
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
554608-1
NY
Other
Enumeration date
06/15/2014
Last updated
06/15/2014
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