person
Colleen Kelly, PA
Surgical Physician Assistant in Commack, New York
NPI 1972755205

Colleen Kelly is a Surgical Physician Assistant based in Commack, NY and is specialized in Surgical. Colleen Kelly practices in Commack, NY and has the professional credentials of PA. The NPI Number for Colleen Kelly is 1972755205 and holds a License No. 010544 (New York).

The current practice location address for Colleen Kelly is 763 Larkfield Rd Fl 2, Commack, NY and can be reached out via phone at 631-462-2225 and via fax at 631-670-2643.

Location: 763 Larkfield Rd Fl 2, Commack, NY, 11725-3131
person
Provider Profile Details
NPI Number
1972755205
Provider Name
Colleen Kelly
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
763 Larkfield Rd Fl 2, Commack, NY, 11725-3131
Phone Number
631-462-2225
Fax Number
631-670-2643
Provider Enumeration Date
10/17/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
763 Larkfield Rd Fl 2
City
State
Zip
11725-3131
Phone Number
631-462-2225
Fax Number
631-670-2643
person
Provider Business Mailing Address Details
Address
763 Larkfield Rd Fl 2
City
State
Zip
11725-3131
Phone Number
631-462-2225
Fax Number
631-670-2643
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
010544 (Arizona)
Definition
Definition to come...
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