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Contact Information

CATHERINE KELLY, DO
1000 MONTAUK HWY
WEST ISLIP, NY11795
 Phone: 631-376-4444
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for CATHERINE KELLY · (Female)

NPI # 1174871255
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 08/21/2012
Last updated 08/13/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 279380
Hospital affiliation(s)
  • WHITE PLAINS HOSPITAL CENTER - (Acute Care)
    41 EAST POST R0AD
    WHITE PLAINS, NY 10601
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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