Kelly, Lesa A

Kelly, Lesa A is an sole proprietor health care provider with primary practice located at 1296 North Ave Suite 201, New Rochelle NY 10804-2603. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Kelly, Lesa A can be contacted via phone (914) 637-2663.

Contact Information

Primary practice address
1296 North Ave Suite 201 New Rochelle NY 10804-2603
Phone: (914) 637-2663
Fax: (914) 632-2016
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 191220 New York

Profile Details

NPI number 1265598015
LBN Legal business name Kelly, Lesa A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2006
Last updated Jan 28th, 2015 - about 10 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 1265598015 NPPES
New York Other 1358881 MAGNACARE PROVIDER ID
New York Other P1844761 MAGNACARE PROVIDER ID
New York Other A400003316 MAGNACARE PROVIDER ID
New York Other 010191220NY01 MAGNACARE PROVIDER ID
New York Other 134081364 MAGNACARE PROVIDER ID
New York Other 2200529 MAGNACARE PROVIDER ID
New York Other 2295900 MAGNACARE PROVIDER ID

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