Kelly, Irene

Kelly, Irene is an individual health care provider with primary practice located at 510 Route 304 , New City NY 10956-3041. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Kelly, Irene can be contacted via phone (845) 634-8400.

Contact Information

Primary practice address
510 Route 304 New City NY 10956-3041
Phone: (845) 634-8400
Fax: (845) 634-0979
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 166838 New York

Profile Details

NPI number 1558357574
LBN Legal business name Kelly, Irene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Aug 5th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558357574 NPPES
New York Other 0123574 AETNA HMO ID#
New York Other 0D4709 AETNA HMO ID#
New York Other 160015223 AETNA HMO ID#
New York Other 40615591 AETNA HMO ID#
New York Other 02E911 AETNA HMO ID#
New York Other 166838 AETNA HMO ID#
New York Other RP023 AETNA HMO ID#
New York Other 02E913 AETNA HMO ID#
New York Other 000359 AETNA HMO ID#

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