Kelly, Thomas

Kelly, Thomas is an individual health care provider with primary practice located at 204 Eastlake Ave , Massapequa Park NY 11762-2145. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Kelly, Thomas can be contacted via phone (516) 639-3736.

Contact Information

Primary practice address
204 Eastlake Ave Massapequa Park NY 11762-2145
Phone: (516) 639-3736
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 037158-1 New York

Profile Details

NPI number 1245844554
LBN Legal business name Kelly, Thomas
Credentials PHYSICAL THERAPY
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2020
Last updated Sep 3rd, 2020 - about 6 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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