COLLEEN KELLY


Address: 763 Larkfield Rd Fl 2, Commack, NY 11725-3131
Phone: 6314622225

COLLEEN KELLY (NPI# 1972755205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972755205
Entity Type Individual
Full Name COLLEEN KELLY
Credential P.A.
Practice Address 763 Larkfield Rd Fl 2
Commack
NY 11725-3131
Practice Telephone 6314622225
Practice Fax Number 6316702643
Mailing Telephone 6314622225
Mailing Fax Number 6316702643
Enumeration Date 2008-10-17
Last Update Date 2008-10-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
010544 AZ Physician Assistants & Advanced Practice Nursing Providers

Other Providers COLLEEN KELLY

NPI Name Taxonomy Address Enumeration
1417451980 Colleen Anne Kelly Student in an Organized Health Care Education/Training Program Menino Building, Dowling 3 South Resident Mailboxes, 1 Boston Medical Center Place, Boston, MA 02118 2018-03-20
1982068474 Colleen Kelly Counselor 3208 Lake Park Way, 105, Longmont, CO 80503-7822 2016-04-11
1023498565 Colleen Emma Kelly Behavioral Analyst 48 Aberdeen Rd, Arlington, MA 02476-5752 2015-05-29
1386714590 Colleen J Kelly Nurse Practitioner Walton High School, 2780 Reservoir Avenue, Bronx, NY 10468 2006-11-08
1801839121 Colleen Elizabeth Kelly Pediatrics 21 Totman Street, #2, Quincy, MA 02169 2006-06-14
1205440591 Colleen Kelly Social Worker 7701 13th Ave, Brooklyn, NY 11228-2413 2020-09-03
1265068696 Colleen Kelly Physical Therapist 460 Amherst St, Nashua, NH 03063-1220 2020-03-17
1790320414 Colleen Kelly Occupational Therapist 3761 Knollcroft St, Easton, PA 18045-3026 2019-11-18
1407400419 Colleen Lora Jaimie Kelly Nurse Practitioner 2111 Neuse Blvd Ste J, New Bern, NC 28560-4318 2019-07-29
1811457815 Colleen Hamm Kelly Surgery 3300 Gallows Rd, Falls Church, VA 22042-3307 2019-03-25

Office Location

Street Address 763 LARKFIELD RD FL 2
City COMMACK
State NY
Zip Code 11725-3131

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982608592 Neal H Frauwirth Pain Medicine 763 Larkfield Rd Fl 2, Commack, NY 11725 2005-06-10
1801133160 Mohammed Weiss Sanzar Physician Assistant 763 Larkfield Rd Fl 2, Commack, NY 11725-3131 2013-01-07
1851450977 Robert Anthony Riselvato Emergency Medicine 763 Larkfield Rd Fl 2, Commack, NY 11725-3131 2006-12-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699322131 Amanda Grace Acebedo Student in an Organized Health Care Education/Training Program 785 Larkfield Rd, Commack, NY 11725 2019-08-20
1922667716 Diana Mcnamara Social Worker 13 Audrey Lane, Commack, NY 11725 2019-06-06
1821504333 Amy Koenig Specialist 787 Larkfield Rd, Commack, NY 11725 2017-12-19
1437661501 Commack Chemist Inc Pharmacy 6216 Jericho Turnpike, Commack, NY 11725 2017-10-30
1285168880 Stephanie Arico Counselor 14 Silver Pond Cir, Commack, NY 11725 2017-04-20
1235684432 Ams Primary Medical Care House Calls,pc Home Health 6277 Jericho Tpk, Commack, NY 11725 2016-08-18
1376927459 Min Sun Park Dentist All About Smiles Pediatric Dentistry, 5036 Jericho Turnpike Suite #307, Commack, NY 11725 2015-07-17
1467843748 Joanna Keegan Pharmacy Technician 98 Veterans Memorial Highway, Commack, NY 11725 2015-02-09
1275936841 Jennie Bernstein Social Worker 368 Veterans Hwy Ste 2, Commack, NY 11725 2014-09-26
1417362021 Diana Matira Yildirim Pediatrics 646 Commack Road, Commack, NY 11725 2014-06-23
Find all providers in zip 11725

Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225052277 Scott Michael Gressin Physician Assistant 763 Larkfield Rd, Commack, NY 11725-3131 2006-07-26
1124042130 Michael Osipoff Physician Assistant 763 Larkfield Rd, 2nd Floor, Commack, NY 11725-3131 2006-07-26
1831113745 Kristopher John Stillwell Physician Assistant 763 Larkfield Rd, 2nd Floor, Commack, NY 11725-3131 2006-07-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1205434727 Julia Loren Bartsch Physician Assistant 11791 Genesee St, Alden, NY 14004-9713 2020-10-16
1295347078 Alana Janine Miller Physician Assistant 1060 5th Ave # 1b, New York, NY 10128-0104 2020-08-21
1336768647 Abul Sarker Physician Assistant 2 Sagamore Ave, Suffern, NY 10901-7412 2020-04-16
1689200412 Margaret Ann Sullivan Physician Assistant 7011 108th St Apt 4l, Forest Hills, NY 11375-4407 2020-03-12
1376177527 Anabell Marina Lopez Plaza Physician Assistant 12 Berrywood Ct, Bay Shore, NY 11706-2058 2020-02-26
1154969053 Joshua Reyes Physician Assistant 8839 Saint James Ave, Elmhurst, NY 11373 2019-12-11
1831736602 Ll Physician Assistant PC Physician Assistant 2279 Coney Island Ave Fl 2, Brooklyn, NY 11223-3337 2019-11-29
1992348775 Nafiur Rahman Chowdhury Physician Assistant 8268 164th St Rm A3-65, Jamaica, NY 11432-1121 2019-10-23
1376194720 Sarah Van Eenenaam Physician Assistant Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 2019-09-26
1578114377 Matthew Newmark Eisenstein Physician Assistant 3260 43rd St Apt 2r, Astoria, NY 11103-2745 2019-09-23
Find all providers with the same taxonomy

Competitor

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City COMMACK
Zip Code 11725

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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