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1912381401
ALISSA KELLY
MINEOLA, NY
NPI
1912381401
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 018722)
Enumeration Date
2015-07-14
Last Update Date
2021-02-16
Business Address
ALISSA KELLY PA-C
259 1ST ST
MINEOLA, NY 11501-3957
Phone number: 516-663-0333
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Mailing Address
ALISSA KELLY PA-C
259 1ST ST
MINEOLA, NY 11501-3957
Phone number: 516-663-0333
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