Individual
DR. CAROL JELLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11 CRUM ELBOW ROAD, HYDE PARK, NY 12538
(845) 229-1020
(845) 229-2005
Mailing address
11 CRUM ELBOW ROAD, HYDE PARK, NY 12538
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
222115
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
312490
USFHP (HMO)
NY
Enumeration date
07/25/2006
Last updated
12/07/2011
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