Paul E Kelly
Otolaryngology/Facial Plastic Surgery
400 Old Country Road Suite 16
Riverhead
, New York 11901-2145
Paul E Kelly
Otolaryngology/Facial Plastic Surgery
400 Old Country Road Suite 16
Riverhead
, New York 11901-2145
(914) 984-2546
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About
Features
Specialties
- Otolaryngology/Facial Plastic Surgery
Languages spoken
- English
Location
First Address
- Paul E Kelly
- 660 White Plains Rd Fl 4
- Tarrytown, NY
- Zip : 10591-5139
- Phone : (914) 984-2546
Second Address
- Paul E Kelly
- 400 Old Country Road Suite 16
- Riverhead, NY
- Zip : 11901-2145
- Fax : (631) 727-8110
- Phone : (631) 574-3419
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 230368 | NY |
National Provider Identifier
| NPI | 1346242831 |
|---|---|
| Provider Name | Paul E Kelly |
| First Address | Tarrytown, NY 10591-5139 |
| Second Address | Riverhead, NY 11901-2145 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/08/2005 |
| Last Update Date | 02/04/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 02646179 | (05) | NY |
| G95886 | (02) | NY |
| P0108756 | RAILROAD MEDICARE PIN (01) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.