Individual
KELLY YIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
877 E MAIN ST STE 106, RIVERHEAD, NY 11901-2521
(631) 727-0660
Mailing address
24 PLEASANT AVE, PLAINVIEW, NY 11803-1430
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F311493-01
NY
Other
Enumeration date
08/13/2024
Last updated
10/02/2024
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