Individual provider · Type 1 NPI

Jacqueline Allison Kielty, P.A

Medical Physician Assistant · Glen Cove, NY

NPI number 1912122136 Active

Practice location

104 Forest Ave
Glen Cove, NY 11542-2015

Call (516) 759-5406 Map

Mailing address

36 Cocks Ln
Locust Valley, NY 11560-2313

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X011007 (NY)

Medical Physician Assistant: Definition to come...

8 other providers at this address

Other medical physician assistant providers in Glen Cove

See all in Glen Cove →

About NPI 1912122136

Jacqueline Allison Kielty, P.A's National Provider Identifier is 1912122136, issued on Apr 14, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Glen Cove, NY. The record was last updated on Jul 8, 2007.