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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1760923353 NPPES
New York MEDICAID 04786994

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