Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 252221 | NY |
NPI | 1033364476 |
---|---|
Provider Name | Dr. James Frederick Kelly |
First Address | New York, NY 10010-2631 |
Second Address | New York, NY 10010-2631 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/11/2008 |
Last Update Date | 09/01/2017 |