person
Wayne J Kelly
Optician in Manhasset, New York
NPI 1144320805

Wayne J Kelly is a Optician based in Manhasset, NY and is specialized in Optician. Wayne J Kelly practices in Manhasset, NY. The NPI Number for Wayne J Kelly is 1144320805 and holds a License No. 005159-1 (New York).

The current practice location address for Wayne J Kelly is 1649 Northern Blvd, Manhasset, NY and can be reached out via phone at 516-365-4066. You can also correspond with Wayne J Kelly through the mailing address at 1649 NORTHERN BLVD, MANHASSET, NY - 11030-3026 (mailing address contact number: 516-365-4066).

Location: 1649 Northern Blvd, Manhasset, NY, 11030-3026
person
Provider Profile Details
NPI Number
1144320805
Provider Name
Wayne J Kelly
Credential
Provider Entity Type
Individual
Gender
Male
Address
1649 Northern Blvd, Manhasset, NY, 11030-3026
Phone Number
516-365-4066
Fax Number
Provider Enumeration Date
09/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
837 01 NY VISION SCREENING
02604960 05 NY
18046 01 NY DAVIS VISION
NY5159 01 NY EYEMED
1002050000 01 NY UFT
institution
Provider Business Practice Location Address Details
Address
1649 Northern Blvd
City
State
Zip
11030-3026
Phone Number
516-365-4066
Fax Number
person
Provider Business Mailing Address Details
Address
1649 Northern Blvd
City
State
Zip
11030-3026
Phone Number
516-365-4066
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
005159-1 (New York)
Definition
Definition to come...
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