Individual
DR. KELLY KIM LY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
227 MADISON ST, PEDIATRICS DEPT, NEW YORK, NY 10002-7537
(212) 238-7260
(212) 238-7799
Mailing address
227 MADISON ST, PEDIATRICS DEPT, NEW YORK, NY 10002-7537
(212) 238-7260
(212) 238-7799
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
224534
NY
2080A0000X
Pediatric Adolescent Medicine Physician
25MA07959400
NJ
Other
Enumeration date
03/27/2007
Last updated
07/12/2011
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