Individual
KELLY JIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 E 77TH ST, 2 LACHMAN, NEW YORK, NY 10075-1850
(212) 434-6500
Mailing address
100 E 77TH ST, 2 LACHMAN, NEW YORK, NY 10075-1850
(212) 434-6500
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
330478
NY
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
330478
NY
Other
Enumeration date
03/30/2015
Last updated
08/12/2024
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