MISS Kelly A Blydenburgh, RN

NPI #1700335916 in Islip Terrace, New York

Provider Information

NPI Number
1700335916
Entity Type
Individual
Name
MISS Kelly A Blydenburgh, RN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Registered Nurse
Credential
RN
Enumeration Date
Sep 28, 2016
Last Updated
Sep 28, 2016

Practice Location

Address
238 ROCKAWAY ST
ZIP Code
11752-1105
Phone
(631) 525-6197

Specialties & Taxonomy Codes

Specialty
Registered Nurse

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