Pellicone, Kelsey Marie
Pellicone, Kelsey Marie is an individual health care provider with primary practice located at 1978 Crompond Rd , Cortlandt Manor NY 10567-4111. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Pellicone, Kelsey Marie can be contacted via phone (914) 739-2121.Contact Information
Primary practice address
1978 Crompond Rd
Cortlandt Manor NY 10567-4111
Phone: (914) 739-2121
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 020695 | New York |
Profile Details
NPI number | 1760923353 |
---|---|
LBN Legal business name | Pellicone, Kelsey Marie |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 15th, 2017 |
Last updated | Oct 10th, 2019 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1760923353 | NPPES |
New York | MEDICAID | 04786994 |
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