Kelly, James R

Kelly, James R is an sole proprietor health care provider with primary practice located at 901 Stewart Ave Suite 255, Garden City NY 11530-4893. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Kelly, James R can be contacted via phone (516) 222-5555.

Contact Information

Primary practice address
901 Stewart Ave Suite 255 Garden City NY 11530-4893
Phone: (516) 222-5555
Fax: (516) 222-2778
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 197045 New York

Profile Details

NPI number 1659361848
LBN Legal business name Kelly, James R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2005
Last updated Apr 25th, 2008 - about 18 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1659361848 NPPES
New York Other 0402279 GHI
New York Other 1736445 GHI
New York Other 197045 GHI
New York Other G52095 GHI
New York MEDICAID 01761715 GHI
New York Other P2530558 GHI
New York Other 197045-D40 GHI
New York Other 8459916001 GHI
New York Other 4C6364 GHI

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