Individual
MRS. GAIL KELLNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
14 GLOVER DR, YAPHANK, NY 11980-1204
(631) 852-4400
Mailing address
14 GLOVER DR, YAPHANK, NY 11980-1204
(631) 852-4400
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F301481-1
NY
Other
Enumeration date
09/29/2011
Last updated
09/29/2011
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