Individual
DR. JONATHAN MICHAEL KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
259 1ST ST, MINEOLA, NY 11501-3957
(516) 663-0333
Mailing address
46 OSBORNE AVE, MOUNT SINAI, NY 11766-3135
(631) 885-2756
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
316982
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2019
Last updated
05/03/2023
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