Individual
MARY L KERCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPP-BC
Contact information
Practice address
814 HARRISON AVENUE, RIVERHEAD, NY 11901
(631) 369-8966
Mailing address
814 HARRISON AVENUE, RIVERHEAD, NY 11901
(631) 369-8966
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401663-1
NY
Other
Enumeration date
08/14/2014
Last updated
08/28/2014
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