Individual
MRS. MICHELE MARIE MATSON-KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2 WOODRIDGE, PUTNAM VALLEY, NY 10579-3321
(845) 528-3781
Mailing address
59 COLD SPRING RD, PUTNAM VALLEY, NY 10579-1513
(845) 284-2385
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
00492475
NY
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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