Individual provider · Type 1 NPI

Theresa O'Hagan-Kelly

Other Specialist/Technologist · Forest Hills, NY

NPI number 1639680077 Active

Practice location

7000 Austin St
Forest Hills, NY 11375-1022

Call (718) 762-7633 Map

Fax (718) 866-8694

Mailing address

7000 Austin St Ste 200
Forest Hills, NY 11375-4739

Specialties and licenses

TaxonomyCodeLicense
Other Specialist/Technologist Primary 246Z00000XNone listed

Other Specialist/Technologist: General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.

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About NPI 1639680077

Theresa O'Hagan-Kelly's National Provider Identifier is 1639680077, issued on Oct 12, 2017. The primary taxonomy on file is Other Specialist/Technologist (246Z00000X), and the practice location is in Forest Hills, NY. The record was last updated on Oct 12, 2017.