Individual
MS. CHRISTINE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
535 PLANDOME RD, MANHASSET, NY 11030-1974
(516) 627-6188
Mailing address
1 HOLLOW LN STE 206, NEW HYDE PARK, NY 11042-1215
(516) 931-0041
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0046731
NY
Other
Enumeration date
05/05/2006
Last updated
09/10/2025
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