Kelly, Maureen Jeanette

Kelly, Maureen Jeanette is an individual health care provider with primary practice located at 68 Hauppauge Rd , Commack NY 11725-4403. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Kelly, Maureen Jeanette can be contacted via phone (631) 715-2503.

Contact Information

Primary practice address
68 Hauppauge Rd Commack NY 11725-4403
Phone: (631) 715-2503
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 003748-1 New York

Profile Details

NPI number 1235275959
LBN Legal business name Kelly, Maureen Jeanette
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Apr 14th, 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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