Individual
KELLY BRANT PIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1824 MADISON AVE, 5TH FLOOR, NEW YORK CITY, NY 10035
(212) 423-4500
Mailing address
1824 MADISON AVE, NEW YORK, NY 10035-3832
(212) 423-4500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
287255
NY
Other
Enumeration date
04/01/2015
Last updated
10/29/2025
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