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Kelly Wise, LCSW

NPI 1073800108 · on the registry since 2011 · sole proprietor

Practice

Address
60 Plaza St E
Suite 1g
Brooklyn, NY 11238
Phone
(917) 822-5045
Organisation at this address
Llewellyn Hyacinthe Md Pc
Brooklyn Family Medical Care
Jacques Duperval, Md, Fics, Facs, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
23

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-03-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York