Individual
ALEXANDRA E KELLEHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, OTR/L
Contact information
Practice address
1535 RICHMOND AVE, STATEN ISLAND, NY 10314-1520
(718) 698-5162
Mailing address
222 ELVIN ST, STATEN ISLAND, NY 10314-5304
(718) 698-5162
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
014188
NY
Other
Enumeration date
03/23/2009
Last updated
03/23/2009
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