MS. CHRISTINE KELLY


Address: 60 Cuttermill Rd, 507, Great Neck, NY 11021-3104
Phone: 5164878738

MS. CHRISTINE KELLY (NPI# 1952359309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952359309
Entity Type Individual
Full Name MS. CHRISTINE KELLY
Credential P.A.
Practice Address 60 Cuttermill Rd
507
Great Neck
NY 11021-3104
Mailing Address 2800 Marcus Ave
New Hyde Park
NY 11042-1008
Practice Telephone 5164878738
Practice Fax Number 5164871601
Enumeration Date 2006-05-05
Last Update Date 2009-05-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
0046731 NY Physician Assistants & Advanced Practice Nursing Providers

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1699275347 Christine A Kelly Case Manager/Care Coordinator 12395 Mccracken Rd, Garfield Hts, OH 44125-2967 2018-02-20
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1942544242 Christine M Kelly Physical Therapist 2541 Pass Rd, Suite F, Biloxi, MS 39531-2106 2012-11-27
1346514700 Christine Rachael Kelly Counselor 606 Coral St, Honolulu, HI 96813-5135 2012-03-02
1992946701 Christine Sanders Kelly Speech-Language Pathologist 212 North Court Street, Wayne, WV 25570 2009-03-09
1043465867 Christine Elizabeth Kelly Counselor 845 Church St N, Suite 305, Concord, NC 28025-4300 2008-11-20

Office Location

Street Address 60 CUTTERMILL RD
507
City GREAT NECK
State NY
Zip Code 11021-3104

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245288778 Michael D Moseson Specialist 60 Cuttermill Rd, 507, Great Neck, NY 11021-3104 2006-05-05
1689622110 Owen T Su Specialist 60 Cuttermill Rd, 507, Great Neck, NY 11021-3104 2006-05-05

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

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1174725857 Marina Travalja Physician Assistant 900 Northern Blvd, Suite 140, Great Neck, NY 11021-5302 2007-06-04

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Competitor

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City GREAT NECK
Zip Code 11021

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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