Individual
MRS. MARY A KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2000 N VILLAGE AVE, SUITE 108, ROCKVILLE CENTRE, NY 11570-1078
(516) 678-1444
(516) 678-1023
Mailing address
2000 N VILLAGE AVE, SUITE 108, ROCKVILLE CENTRE, NY 11570-1078
(516) 678-1444
(516) 678-1023
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
306256
NY
Other
Enumeration date
01/16/2013
Last updated
01/16/2013
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