Individual
MR. BRIAN KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3434 BELL BLVD, BAYSIDE, NY 11361-1730
(347) 857-9699
Mailing address
8230 138TH ST APT 6P, BRIARWOOD, NY 11435-1477
(646) 510-5904
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
004042
NY
Other
Enumeration date
10/03/2009
Last updated
07/21/2022
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