Individual
KERRY A PURTILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 ELM ST, TUCKAHOE, NY 10707-3925
(914) 337-7474
(914) 961-0058
Mailing address
1 ELM ST, TUCKAHOE, NY 10707-3925
(914) 337-7474
(914) 961-0058
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
224666
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02300796
—
NY
Enumeration date
08/09/2005
Last updated
07/24/2008
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