Active NPIIndividual providerSole proprietor

Lesa A Kelly, MD

Specialist in New Rochelle, New York

NPI Number1265598015
Practice location
1296 North Ave, Suite 201, New Rochelle, NY 10804-2603
Fax
914-632-2016
Last updated
January 28, 2015

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 (NY). The current practice location address for Lesa A Kelly is 1296 North Ave, Suite 201, New Rochelle, NY 10804-2603 and can be reached out via phone at 914-637-2663 and via fax at 914-632-2016.

Provider Profile Details

NPI Number
1265598015
Provider Name
Lesa A Kelly
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1296 North Ave, Suite 201, New Rochelle, NY 10804-2603
Phone Number
914-637-2663
Fax Number
914-632-2016
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
Yes
Provider Enumeration Date
December 28, 2006
Last Update Date
January 28, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
1296 North Ave
Suite 201
New Rochelle, NY 10804-2603
Zip
10804-2603
Phone Number
914-637-2663
Fax Number
914-632-2016
New Rochelle, NY 10804Get directions →

Provider Business Mailing Address Details

Address
34 Trenor Dr
New Rochelle, NY 10804-3719
City
New Rochelle
State
NY
Zip
10804-3719
Phone Number
914-637-2663
Fax Number
914-632-2016

License Information

License Number
191220
License State
NY
Taxonomy
Specialist · 174400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lesa A Kelly, MD?

The NPI number of Lesa A Kelly, MD is 1265598015. It was assigned on December 28, 2006 and is currently active in the NPPES registry.

What is the specialty of Lesa A Kelly, MD?

Lesa A Kelly, MD is registered under the primary taxonomy Specialist (code 174400000X), licensed in NY under license number 191220.

Where does Lesa A Kelly, MD practice?

The practice location is 1296 North Ave, Suite 201, New Rochelle, NY 10804-2603. The office can be reached at 914-637-2663 (phone) or 914-632-2016 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265598015 directly on the NPPES registry website.

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