Individual
PAUL J KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 POLY PL, BROOKLYN, NY 11209-7104
(718) 836-6600
Mailing address
4543 43RD ST, SUNNYSIDE, NY 11104-2609
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
256887
NY
Other
Enumeration date
06/13/2007
Last updated
08/06/2010
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