Individual
MRS. MONA LORNA KERINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
300 CENTER DR, RIVERHEAD, NY 11901-3393
(631) 852-2680
(631) 852-3827
Mailing address
300 CENTER DR, RIVERHEAD, NY 11901-3393
(631) 852-2680
(631) 852-3827
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
1891991
NY
Other
Enumeration date
12/10/2012
Last updated
12/10/2012
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