Individual
MR. SILAS W. KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
161 E MAIN ST, SMITHTOWN, NY 11787-2879
(631) 360-7578
(631) 360-7687
Mailing address
161 E MAIN ST, SMITHTOWN, NY 11787-2879
(631) 360-7578
(631) 360-7687
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
095659
NY
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
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