person
Lesa A Kelly, MD
Specialist in New Rochelle, New York
NPI 1265598015

Lesa A Kelly is a Specialist based in New Rochelle, NY. Lesa A Kelly practices in New Rochelle, NY and has the professional credentials of MD. The NPI Number for Lesa A Kelly is 1265598015 and holds a License No. 191220 (New York).

The current practice location address for Lesa A Kelly is 1296 North Ave, New Rochelle, NY and can be reached out via phone at 914-637-2663 and via fax at 914-632-2016.

Location: 1296 North Ave, New Rochelle, NY, 10804-3719
person
Provider Profile Details
NPI Number
1265598015
Provider Name
Lesa A Kelly
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1296 North Ave, New Rochelle, NY, 10804-3719
Phone Number
914-637-2663
Fax Number
914-632-2016
Provider Enumeration Date
12/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1358881 01 NY MAGNACARE PROVIDER ID
P1844761 01 NY OXFORD ID
A400003316 01 NY MEDICARE PTAN
010191220NY01 01 NY EMPIRE GOV PAN PROVIDER I
134081364 01 NY TAX ID
2200529 01 NY GHI
2295900 01 NY AETNA PROVIDER ID
institution
Provider Business Practice Location Address Details
Address
1296 North Ave
City
State
Zip
10804-2603
Phone Number
914-637-2663
Fax Number
914-632-2016
person
Provider Business Mailing Address Details
Address
1296 North Ave
City
State
Zip
10804-2603
Phone Number
914-637-2663
Fax Number
914-632-2016
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
191220 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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