The crash happened shortly before 10 p.m. Monday in East Northport.
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Authorities say Karla Kovach was driving a 2008 Kia northbound on Larkfield Road, near 5th Avenue, when her vehicle struck a 2008 Nissan that was slowing in traffic at 9:50 p.m.
The Nissan, operated by Darin Costello, struck the side of Mario's Pizza on Larkfield Road.
After striking the Nissan, the Kia spun into the rear of a 2013 Mercedes, driven by Elias Francois, which forced the Mercedes into the rear of a 2011 Cadillac, which was stopped on northbound Larkfield Road.
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Kovach, 52, of East Northport, was pronounced deat the hospital.
Costello, 37, of Bay Shore, was seriously injured.
Franois and her two child passengers suffered minor injuries.
(Some information from the Associated Press.)