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Dr. Jonathan Michael Kelly, DO

Hospitalist in Mineola, NY. Individual provider (NPI-1).

NPI number1982165254
StatusActive
Last updated in NPPESMay 3, 2023

Details

NPI
1982165254
Entity type
Individual (NPI-1)
Name
Dr. Jonathan Michael Kelly
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
Mar 28, 2019
Certification date
May 3, 2023
Last updated
May 3, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208M00000X Hospitalist316982NYYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

259 1st St
Mineola, NY 11501-3957

Phone 516-663-0333

Mailing address

46 Osborne Ave
Mount Sinai, NY 11766-3135

Phone 631-885-2756

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Other Hospitalist Physician providers in Mineola, NY

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