Individual
DR. LAWRENCE WILLIAM KELLY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
STONY BROOK UNIVERSITY HOSPITAL, DEPARTMENT OF EMERGENCY MEDICINE, HSC, L-4, ROOM 080, STONY BROOK, NY 11794-0001
(631) 444-3880
(631) 444-6031
Mailing address
STONY BROOK UNIVERSITY HOSPITAL, DEPARTMENT OF EMERGENCY MEDICINE, HSC, L-4, ROOM 080, STONY BROOK, NY 11794-0001
(631) 444-3880
(631) 444-6031
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
257499
NY
Other
Enumeration date
06/10/2008
Last updated
08/04/2015
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