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Contact Information

KELLEY SOOKRAJ
4 PHYLLIS DR STE B
PATCHOGUE, NY11772-2900
 Phone: 631-289-4700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Critical Care

2086S0102X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for KELLEY SOOKRAJ · (Female)

NPI # 1689852386
Status Active
Credentials
Entity Individual
Enumeration date 02/05/2008
Last updated 05/27/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 269343
Hospital affiliation(s)
  • NASSAU UNIVERSITY MEDICAL CENTER - (Acute Care)
    2201 HEMPSTEAD TURNPIKE
    EAST MEADOW, NY 11554
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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