Search › New York › 235Z00000X
Kelly Faller
NPI 1952724148 · on the registry since 2014 · sole proprietor
Practice
- Address
- 167 Bergen St
Port Jefferson Station, NY 11776 - Phone
- (631) 745-3674
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Sex
- Female
- Record last updated
- 2014-01-24
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