Individual
DR. KELLY MAURELUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
450 CLARKSON AVE, BROOKLYN, NY 11203-2012
(347) 733-5710
Mailing address
2800 MARCUS AVE, NEW HYDE PARK, NY 11042-1113
(516) 622-6000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
264471
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
264471
NEW YORK STATE LICENSE
NY
Enumeration date
09/08/2008
Last updated
11/04/2015
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