Individual
LAWRENCE KELLEHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
130 W KINGSBRIDGE RD, BRONX, NY 10468-3904
(718) 584-9000
Mailing address
130 W KINGSBRIDGE RD, BRONX, NY 10468-3904
(718) 584-9000
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
306720-01
NY
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
OS018687
PA
Other
Enumeration date
05/17/2012
Last updated
02/03/2026
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