Individual
DR. PATRICK J KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14 SUTTON PL S, 11C, NEW YORK, NY 10022-3071
(212) 751-7751
Mailing address
14 SUTTON PL S, 11C, NEW YORK, NY 10022-3071
(212) 751-7751
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
139544
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0022378
GHI
—
01
—
134042827
CIGNA
—
01
—
139544
HIP
—
01
—
2268392
AETNA HMO
—
01
—
4353813
AETNA PPO
—
01
—
NZ1334
HEALTHNET
—
Enumeration date
08/10/2006
Last updated
04/02/2010
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