Individual provider · Type 1 NPI

Susheian Samantha Kelly, MD/MSCR

Student in an Organized Health Care Education/Training Program · Bronx, NY

NPI number 1497316103 Active

Practice location

111 East 210 St
Bronx, NY 10467

Call (718) 223-0127 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1497316103

Susheian Samantha Kelly, MD/MSCR's National Provider Identifier is 1497316103, issued on Jun 24, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bronx, NY. The record was last updated on Jun 23, 2025.