Individual
MR. MICHAEL FRANCIS KELLY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
223700000X,22520000X
Contact information
Practice address
104 LAFAYETTE AVE, SUFFERN, NY 10901-5552
(845) 893-8117
(845) 562-8999
Mailing address
104 LAFAYETTE AVE, SUFFERN, NY 10901-5552
(845) 893-8117
(845) 562-8999
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
002694
NY
Other
Enumeration date
01/02/2026
Last updated
01/02/2026
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