Individual
KELLY BHATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
260 E MIDDLE COUNTRY RD, SMITHTOWN, NY 11787-2982
(631) 265-3304
Mailing address
260 E MIDDLE COUNTRY RD STE 214, SMITHTOWN, NY 11787-2925
(631) 265-5050
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F309875-01
NY
Other
Enumeration date
07/23/2021
Last updated
07/17/2025
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