Individual
MRS. KELLY BRIANA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
10 PINEWOOD LN, NEW HYDE PARK, NY 11040-3321
(516) 512-2732
Mailing address
41 WASHINGTON STREET, SAYVILLE, NY 11782
(516) 512-2732
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F351213-01
NY
Other
Enumeration date
03/28/2023
Last updated
10/09/2024
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