Organization
DR JOHN KELLY ANESTHESIA PC
Active
Organization
DR JOHN KELLY ANESTHESIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN KELLY DO (PRESIDENT)
(516) 578-3028
Entity
Organization
Contact information
Practice address
17 KNOLLWOOD RD, GLEN HEAD, NY 11545-3318
(516) 578-3028
Mailing address
17 KNOLLWOOD RD, GLEN HEAD, NY 11545-3318
(516) 578-3028
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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