Individual provider · Type 1 NPI

Andrew Nicholas Kelly, PA-C

Medical Physician Assistant · New York, NY

NPI number 1104356377 Active

Practice location

589 3rd Ave
New York, NY 10016-2711

Call (212) 658-6791 Map

Fax (212) 867-4353

Mailing address

129 W 29th St Fl 10
New York, NY 10001-5105

Other practice locations

1345 6th Ave, New York, NY 10105-0302 · (212) 913-0828
8835 Germantown Ave, Philadelphia, PA 19118-2718 · (215) 687-7512
622 W 168th St, New York, NY 10032-3720 · (212) 305-6059

Specialties and licenses

Taxonomy	Code	License
Physician Assistant	363A00000X	024491 (NY)
Medical Physician Assistant	363AM0700X	MA059231 (PA)
Medical Physician Assistant Primary	363AM0700X	024491 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1104356377

Andrew Nicholas Kelly, PA-C's National Provider Identifier is 1104356377, issued on Jun 19, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New York, NY. The record was last updated on Mar 7, 2024.