Individual
DR. KELLY MARIE ONEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D., BCPS
Contact information
Practice address
630 W 168TH ST, NEW YORK, NY 10032-3725
(212) 305-7622
(212) 342-3909
Mailing address
312 CARROLL CLOSE, TARRYTOWN, NY 10591-5216
(781) 589-6540
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
26331
MA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
I-0521661
NY
Other
Enumeration date
08/09/2005
Last updated
02/16/2010
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