Individual
TAMARA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
630 W 168TH ST, NEW YORK, NY 10032-3725
(805) 455-6033
Mailing address
1942 84TH ST, APT. 1, BROOKLYN, NY 11214-3184
(805) 455-6033
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
276136
NY
Other
Enumeration date
07/15/2014
Last updated
12/16/2021
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