Individual provider · Type 1 NPI
Colleen Kelly, P.A.
Surgical Physician Assistant · Commack, NY
NPI number
1972755205
Active
Practice location
763 Larkfield Rd Fl 2
Commack, NY 11725-3131
Fax (631) 670-2643
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 010544 (AZ) |
Surgical Physician Assistant: Definition to come...
6 other providers at this address
- Alexandra Marte PenalverNurse Practitioner Commack, NY NPI 1700686375
- Mohammed Weiss Sanzar, PA-CPhysician Assistant Commack, NY NPI 1801133160
- Neal H. Frauwirth, MDPain Medicine Physician Commack, NY NPI 1982608592
- Robert Anthony Riselvato, PASurgical Physician Assistant Commack, NY NPI 1851450977
- Scott Buzin, DOSports Medicine (Orthopaedic Surgery) Physician Commack, NY NPI 1619330735
- Thomas Joseph Dowling IiiOrthopaedic Surgery of the Spine Physician Commack, NY NPI 1265964910
Other surgical physician assistant providers in Commack
About NPI 1972755205
Colleen Kelly, P.A.'s National Provider Identifier is 1972755205, issued on Oct 17, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Commack, NY. The record was last updated on Oct 17, 2008.