Individual
EILEEN KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 SKYLINE DR, SUITE 298, HAWTHORNE, NY 10532-2157
(914) 347-5990
(914) 347-5236
Mailing address
1 SKYLINE DR, SUITE 298, HAWTHORNE, NY 10532-2157
(914) 347-5990
(914) 347-5236
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
011290-1
NY
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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