Kellman, Scott L

Kellman, Scott L is an individual health care provider with primary practice located at 2 Ohio Dr , Lake Success NY 11042-1111. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kellman, Scott L can be contacted via phone (516) 608-6820.

Contact Information

Primary practice address
2 Ohio Dr Lake Success NY 11042-1111
Fax: (516) 608-6821
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 120548 New York

Profile Details

NPI number 1215936000
LBN Legal business name Kellman, Scott L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Dec 4th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1215936000 NPPES
New York Other P00058733 RAILROAD MEDICARE

Popular Providers