SUSAN KELLY

NEW YORK, NY
NPI1205142197
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  009732)
Enumeration Date2010-08-30
Last Update Date2010-08-30
Business Address
Mrs. SUSAN KELLY PA-C
1190 5TH AVE BOX 1028
NEW YORK, NY 10029-6503
Phone number: 212-659-9521
Mailing Address
Mrs. SUSAN KELLY PA-C
1190 5TH AVE BOX 1028
NEW YORK, NY 10029-6503
Phone number: 212-659-9521