Organization
PATRICIA KELLY MEDICAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT SICILIANO (CEO)
(877) 646-2228
Entity
Organization
Contact information
Practice address
2171 JERICHO TPKE, SUITE 100, COMMACK, NY 11725-2911
(631) 629-2330
Mailing address
2171 JERICHO TPKE, SUITE 100, COMMACK, NY 11725-2937
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
232224-1
NY
Other
Enumeration date
03/03/2016
Last updated
03/03/2016
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