Individual
MATTHEW RYER KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
43 NEW SCOTLAND AVE STE 109, ALBANY, NY 12208-3478
(518) 262-5633
Mailing address
7 FARMINGTON CT, GLENMONT, NY 12077-3072
(518) 312-1731
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
291724
MA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
291724
MA
Other
Enumeration date
04/15/2016
Last updated
11/19/2024
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