Individual
MRS. KELLY BROOKE TWEED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
535 E 70TH ST, NEW YORK, NY 10021-4823
(212) 774-7606
(212) 774-7868
Mailing address
535 E 70TH ST, NEW YORK, NY 10021-4823
(212) 774-7606
(212) 774-7868
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
NY
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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