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1811146772
GERARD P KELLY
MASSAPEQUA, NY
NPI
1811146772
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172M00000X Mechanotherapist
(Licence: NY 008693)
Enumeration Date
2008-09-16
Last Update Date
2008-09-16
Business Address
Mr. GERARD P KELLY L.M.T.
550 BROADWAY STE 201
MASSAPEQUA, NY 11758-5013
Phone number: 516-815-3134
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Mailing Address
Mr. GERARD P KELLY L.M.T.
550 BROADWAY STE 201
MASSAPEQUA, NY 11758-5013
Phone number: 516-815-3134
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