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1427318823
KELLY MARIE PELLICANE
NEW HYDE PARK, NY
NPI
1427318823
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Former Name
KELLY MARIE WARD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: NY F336964-1)
Enumeration Date
2012-05-21
Last Update Date
2018-09-13
Business Address
KELLY MARIE PELLICANE NP
269-1 76TH AVENUE 365
NEW HYDE PARK, NY 11040
Phone number: 718-470-7000
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Mailing Address
KELLY MARIE PELLICANE NP
70 EUCLID AVE
MASSAPEQUA, NY 11758-4508
Phone number: 516-541-2036
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