Individual
KELLEY SOOKRAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
U
Contact information
Practice address
4 PHYLLIS DR STE B, PATCHOGUE, NY 11772-2900
(631) 289-4700
Mailing address
4 PHYLLIS DR STE B, PATCHOGUE, NY 11772-2900
(631) 289-4700
(631) 289-4718
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
269343
NY
Other
Enumeration date
02/05/2008
Last updated
05/27/2024
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