Individual
DANIELLE MARIE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
21 BLOOMINGDALE RD, WHITE PLAINS, NY 10605-1504
(914) 682-9100
Mailing address
21 BLOOMINGDALE RD, WHITE PLAINS, NY 10605-1504
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
309188
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538691670
—
CT
Enumeration date
03/29/2017
Last updated
05/26/2022
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