Individual
KELLY ROSE PEKALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2000
Mailing address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2000
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
313768-01
NY
Other
Enumeration date
05/26/2016
Last updated
06/15/2023
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