Kelly, John P

Kelly, John P is an individual health care provider with primary practice located at 515 Broadway , Massapequa NY 11758-5005. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Kelly, John P can be contacted via phone (516) 799-2700.

Contact Information

Primary practice address
515 Broadway Massapequa NY 11758-5005
Phone: (516) 799-2700
Fax: (516) 799-8023
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 007491 New York

Profile Details

NPI number 1558704775
LBN Legal business name Kelly, John P
Credentials RPA
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2013
Last updated Apr 8th, 2013 - about 13 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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