Kelly, Samantha A.

Kelly, Samantha A. is an individual health care provider with primary practice located at 1000 N. Village Ave , Rockville Centre NY 11570. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Kelly, Samantha A. can be contacted via phone (516) 705-1200.

Contact Information

Primary practice address
1000 N. Village Ave Rockville Centre NY 11570
Phone: (516) 705-1200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 487061 New York

Profile Details

NPI number 1275557852
LBN Legal business name Kelly, Samantha A.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Jul 8th, 2007 - about 17 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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