Kelley, Amanda Lyn
Kelley, Amanda Lyn is an individual health care provider with primary practice located at 496 Munsell Rd , East Patchogue NY 11772-5617. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Kelley, Amanda Lyn can be contacted via phone (631) 332-6509.Contact Information
Primary practice address
496 Munsell Rd
East Patchogue NY 11772-5617
Phone: (631) 332-6509
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant | 224Z00000X | 00715701 | New York |
Profile Details
| NPI number | 1356211825 |
|---|---|
| LBN Legal business name | Kelley, Amanda Lyn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 10th, 2025 |
| Last updated | Nov 10th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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