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Individual

KELSEY FULL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
3100 47TH AVE STE 3100, LONG ISLAND CITY, NY 11101-3050
(888) 684-2779
Mailing address
3100 47TH AVE STE 3100, LONG ISLAND CITY, NY 11101-3050
(888) 684-2779

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
404261
NY

Other

Enumeration date
03/06/2023
Last updated
03/06/2023
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