Individual
MS. CARYN FRANCES KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
7400 SHORE FRONT PKWY, 9M, ARVERNE, NY 11692-1229
(917) 671-7703
Mailing address
7400 SHORE FRONT PKWY, 9M, ARVERNE, NY 11692-1229
(917) 671-7703
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
656740121
NY
Other
Enumeration date
09/10/2012
Last updated
09/10/2012
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