KELLY ANN GROOM

BRONX, NY
NPI1740302421
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NY  009403)
Enumeration Date2007-04-04
Last Update Date2007-07-08
Business Address
Ms. KELLY ANN GROOM M.S. PA-C
1803 MAHAN AVE
BRONX, NY 10461-4621
Phone number: 718-409-2762
Mailing Address
Ms. KELLY ANN GROOM M.S. PA-C
222 E 34TH ST APARTMENT #1203
NEW YORK, NY 10016-4842
Phone number:
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