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1760402341
KELLY COLONGELI
NEW YORK, NY
NPI
1760402341
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Former Name
KELLY TUPPER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 009677-1)
Enumeration Date
2006-07-19
Last Update Date
2018-05-11
Business Address
KELLY COLONGELI PA
177 FORT WASHINGTON AVE
NEW YORK, NY 10032-3733
Phone number: 212-305-2662
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Mailing Address
KELLY COLONGELI PA
5 DUFFY LN
GREENLAWN, NY 11740-2733
Phone number: 631-796-1365
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