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Individual

MS. KERRY LYNN LEROY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
496 SMITHTOWN BYP STE 101, SMITHTOWN, NY 11787-5010
(631) 979-8880
(631) 979-8064
Mailing address
496 SMITHTOWN BYP STE 101, SMITHTOWN, NY 11787-5010
(631) 979-8880
(631) 979-8064

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
432096
NY

Other

Enumeration date
08/23/2021
Last updated
08/23/2021
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