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PATRICIA KINNEARY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
847 BROADWAY, SUITE 103, MASSAPEQUA, NY 11758-2373
(516) 798-0441
Mailing address
847 BROADWAY, SUITE 103, MASSAPEQUA, NY 11758-2373

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F305337-1
NY

Other

Enumeration date
11/10/2010
Last updated
11/10/2010
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