Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEPHEN PATRICK KELLY, COTA
Active Sole ProprietorSTEPHEN PATRICK KELLY, COTA is a Mechanotherapist healthcare provider located in COMMACK, New York. NPI 1457601098 is currently active in the NPPES registry. Verify at CMS.
Mechanotherapist · COMMACK, NY
Registration Details
- NPI Number
- 1457601098
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 11, 2012 (13.94422468768 yrs)
- Last Updated
- Sep 11, 2012
- License
-
7141919 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6080 JERICHO TPKE STE 200COMMACK, NY, 117252808Browse NY providers · Browse ZIP 11725
- Phone
- 6319797224
- Fax
- 6319797224
- Primary Specialty
-
Mechanotherapist
172M00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.