Kelly, Nicole

Kelly, Nicole is an sole proprietor health care provider with primary practice located at 65 Middle Rd , Blue Point NY 11715-1918. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Kelly, Nicole can be contacted via phone (631) 294-3779.

Contact Information

Primary practice address
65 Middle Rd Blue Point NY 11715-1918
Phone: (631) 294-3779
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X P08721 New York

Profile Details

NPI number 1841703923
LBN Legal business name Kelly, Nicole
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 10th, 2017
Last updated Nov 10th, 2017 - about 7 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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