SearchNew York101YM0800X

Kelly Lane

NPI 1538525738 · on the registry since 2016 · sole proprietor

Practice

Address
998 Crooked Hill Rd
Brentwood, NY 11717
Phone
(631) 761-2296
Organisation at this address
Suffolk Icm Program
Phoenix House Foundation
Pilgrim Psychiatric Center
Phoenix Houses Of Long Island, Inc.
Suffolk County Dept Of Health Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
182

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Sex
Female
Record last updated
2016-01-05

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