Individual provider · Type 1 NPI

Alice Mary Kelly-Tobin, NP

Gerontology Nurse Practitioner · Holbrook, NY

NPI number 1255394128 Active

Practice location

41 Avenue A
Holbrook, NY 11741-2009

Call (631) 737-6179 Map

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XF340282-1 (NY)

Gerontology Nurse Practitioner: Definition to come...

About NPI 1255394128

Alice Mary Kelly-Tobin, NP's National Provider Identifier is 1255394128, issued on Apr 10, 2006. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Holbrook, NY. The record was last updated on Aug 3, 2015.