COLLEEN KELLY

COMMACK, NY
NPI1972755205
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: AZ  010544)
Enumeration Date2008-10-17
Last Update Date2008-10-17
Business Address
-- COLLEEN KELLY P.A.
763 LARKFIELD RD FL 2
COMMACK, NY 11725-3131
Phone number: 631-462-2225
Mailing Address
-- COLLEEN KELLY P.A.
763 LARKFIELD RD FL 2
COMMACK, NY 11725-3131
Phone number: 631-462-2225
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