KELLY MARIE PELLICANE

NEW HYDE PARK, NY
NPI1427318823
Former NameKELLY MARIE WARD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  F336964-1)
Enumeration Date2012-05-21
Last Update Date2018-09-13
Business Address
KELLY MARIE PELLICANE NP
269-1 76TH AVENUE 365
NEW HYDE PARK, NY 11040
Phone number: 718-470-7000
Mailing Address
KELLY MARIE PELLICANE NP
70 EUCLID AVE
MASSAPEQUA, NY 11758-4508
Phone number: 516-541-2036
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