Individual
KELLYANN NIOTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
428 E 72ND ST OFC 500, NEW YORK, NY 10021-0600
(212) 746-0226
Mailing address
428 E 72ND ST OFC 500, NEW YORK, NY 10021-0600
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
302456
NY
Other
Enumeration date
04/18/2016
Last updated
08/02/2021
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