Kelly, Bryan T

Kelly, Bryan T is an sole proprietor health care provider with primary practice located at 535 E 70Th St , New York NY 10021-4823. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Trauma, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Kelly, Bryan T can be contacted via phone (212) 606-1159.

Contact Information

Primary practice address
535 E 70Th St New York NY 10021-4823
Fax: (646) 797-8865
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Trauma 207XX0801X 208586 New York
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 208586 New York
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 208586 New York

Profile Details

NPI number 1457386211
LBN Legal business name Kelly, Bryan T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2006
Last updated Feb 1st, 2021 - about 4 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 1457386211 NPPES
New York MEDICAID 02201081

Popular Providers