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Nicholas Kelly
Student in an Organized Health Care Education/Training Program in Bay Shore, New York
NPI 1902447915

Nicholas Kelly is a Student in an Organized Health Care Education/Training Program based in Bay Shore, NY. Nicholas Kelly practices in Bay Shore, NY. The NPI Number for Nicholas Kelly is 1902447915 and holds a License No. (New York).

The current practice location address for Nicholas Kelly is 1089 Manor Ln, Bay Shore, NY and can be reached out via phone at 631-649-5834. You can also correspond with Nicholas Kelly through the mailing address at 1089 MANOR LN, BAY SHORE, NY - 11706-6224 (mailing address contact number: 631-649-5834).

Location: 1089 Manor Ln, Bay Shore, NY, 11706-6224
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902447915
Provider Name
Nicholas Kelly
Credential
Provider Entity Type
Individual
Gender
Male
Address
1089 Manor Ln, Bay Shore, NY, 11706-6224
Phone Number
631-649-5834
Fax Number
Provider Enumeration Date
10/01/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1089 Manor Ln
City
Bay Shore
State
New York
Zip
11706-6224
Phone Number
631-649-5834
Fax Number
person
Provider Business Mailing Address Details
Address
1089 Manor Ln
City
Bay Shore
State
New York
Zip
11706-6224
Phone Number
631-649-5834
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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