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Stacy Kelly
Student in an Organized Health Care Education/Training Program in Woodmere, New York
NPI 1952769655

Stacy Kelly is a Student in an Organized Health Care Education/Training Program based in Woodmere, NY. Stacy Kelly practices in Woodmere, NY. The NPI Number for Stacy Kelly is 1952769655 and holds a License No. 1252 (New York).

The current practice location address for Stacy Kelly is 321 Woodmere Blvd, Woodmere, NY and can be reached out via phone at 516-295-7302 and via fax at 516-295-1180.

Location: 321 Woodmere Blvd, Woodmere, NY, 11598-2035
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952769655
Provider Name
Stacy Kelly
Credential
Provider Entity Type
Individual
Gender
Female
Address
321 Woodmere Blvd, Woodmere, NY, 11598-2035
Phone Number
516-295-7302
Fax Number
516-295-1180
Provider Enumeration Date
02/09/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
321 Woodmere Blvd
City
Woodmere
State
New York
Zip
11598-2035
Phone Number
516-295-7302
Fax Number
516-295-1180
person
Provider Business Mailing Address Details
Address
321 Woodmere Blvd
City
Woodmere
State
New York
Zip
11598-2035
Phone Number
516-295-7302
Fax Number
516-295-1180
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.
1252 (New York)
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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