Kelly, Mary A

Kelly, Mary A is an individual health care provider with primary practice located at 2000 N Village Ave Suite 108, Rockville Centre NY 11570-1078. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Kelly, Mary A can be contacted via phone (516) 678-1444.

Contact Information

Primary practice address
2000 N Village Ave Suite 108 Rockville Centre NY 11570-1078
Phone: (516) 678-1444
Fax: (516) 678-1023
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 306256 New York

Profile Details

NPI number 1417294018
LBN Legal business name Kelly, Mary A
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2013
Last updated Jan 16th, 2013 - about 12 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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