Individual
DR. IRENE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
510 ROUTE 304, NEW CITY, NY 10956-3041
(845) 634-8400
(845) 634-0979
Mailing address
510 ROUTE 304, NEW CITY, NY 10956-3041
(845) 634-8400
(845) 634-0979
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
166838
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000359
CONNECTICARE #
NY
01
—
0123574
AETNA HMO ID#
NY
01
—
02E911
EMPIRE BC/BS NEW CITY #
NY
01
—
02E913
EMPIRE BC/BS STONY PT. #
NY
01
—
0D4709
HEALTHNET ID #
NY
01
—
160015223
RAILROAD MEDICARE ID #
NY
01
—
166838
HIP #
NY
01
—
40615591
AETNA PPO ID #
NY
01
—
RP023
OXFORD #
NY
Enumeration date
09/26/2005
Last updated
08/05/2009
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