Pellicane, Kelly Marie

Pellicane, Kelly Marie is an sole proprietor health care provider with primary practice located at 269-1 76Th Avenue 365, New Hyde Park NY 11040. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Pellicane, Kelly Marie can be contacted via phone (718) 470-7000.

Contact Information

Primary practice address
269-1 76Th Avenue 365 New Hyde Park NY 11040
Phone: (718) 470-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F336964-1 New York

Profile Details

NPI number 1427318823
LBN Legal business name Pellicane, Kelly Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2012
Last updated Sep 13th, 2018 - about 8 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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