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Michael Kelly, 223700000X,22520000X
NPI 1881550887 · on the registry since 2026 · sole proprietor
Practice
- Address
- 104 Lafayette Ave
Suffern, NY 10901 - Phone
- (845) 893-8117
- Fax
- (845) 562-8999
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-01-02
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