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Kelly Marie Pellicane, NP
Family Nurse Practitioner in New Hyde Park, New York
NPI 1427318823

Kelly Marie Pellicane is a Family Nurse Practitioner based in Massapequa, NY and is specialized in Family. Kelly Marie Pellicane practices in New Hyde Park, NY and has the professional credentials of NP. The NPI Number for Kelly Marie Pellicane is 1427318823 and holds a License No. F336964-1 (New York).

The current practice location address for Kelly Marie Pellicane is 269-1 76Th Avenue, New Hyde Park, NY and can be reached out via phone at 718-470-7000.

Location: 269-1 76Th Avenue, New Hyde Park, NY, 11758-4508
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427318823
Provider Name
Kelly Marie Pellicane
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
269-1 76Th Avenue, New Hyde Park, NY, 11758-4508
Phone Number
718-470-7000
Fax Number
Provider Enumeration Date
05/21/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
269-1 76Th Avenue
City
New Hyde Park
State
New York
Zip
11040
Phone Number
718-470-7000
Fax Number
person
Provider Business Mailing Address Details
Address
269-1 76Th Avenue
City
New Hyde Park
State
New York
Zip
11040
Phone Number
718-470-7000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
F336964-1 (New York)
Definition
Definition to come...
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