Individual
AMELIA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 WATER RD, ROCKY POINT, NY 11778-8104
(631) 901-3061
Mailing address
30 WATER RD, ROCKY POINT, NY 11778-8104
(631) 901-3061
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
027456
NY
Other
Enumeration date
02/15/2017
Last updated
03/29/2019
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