STEPHEN PATRICK KELLY

COMMACK, NY
NPI1457601098
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172M00000X Mechanotherapist
(Licence: NY  7141919)
Enumeration Date2012-09-11
Last Update Date2012-09-11
Business Address
-- STEPHEN PATRICK KELLY COTA
6080 JERICHO TPKE STE 200
COMMACK, NY 11725-2808
Phone number: 631-979-7224
Mailing Address
-- STEPHEN PATRICK KELLY COTA
37 WESTWOOD LN
KINGS PARK, NY 11754-5122
Phone number: 631-979-7224
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