Individual
ERIN KATHLEEN KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-9000
Mailing address
9 HILLTOP DR, MOUNT SINAI, NY 11766-1714
(631) 928-0362
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
012622
NY
Other
Enumeration date
08/10/2009
Last updated
08/10/2009
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