Individual
EMILY KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
196 SARA LN, NEWBURGH, NY 12550-2597
(845) 565-4345
Mailing address
12 MAPLE AVE, 1, CORNWALL ON HUDSON, NY 12520-1501
(845) 597-5347
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
P00819
NY
Other
Enumeration date
02/02/2016
Last updated
02/02/2016
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