NPI 1508013103 CHARLES J KELLY GARRISON NY. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Charles J Kelly - NPI: 1508013103

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: CHARLES J KELLY
NPI Number: 1508013103
Entity Type Code: Individual (1)
Gender: M
Credentials:
License Number: 20821
Business Practice Address: 21 Franciscan Way
Garrison, NY - 105240150
Business Phone Number: 8453351000
Business Fax Number:
Mailing Address: Po Box 150,
GARRISON
State: NY
Postal Code: 105240150
Phone Number: 8453351000
Fax Number:
NPI Enumeration Date: 08/26/2008
NPI Last Update Date: 08/26/2008
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 101YA0400X
License Number: 20821
Healthcare Provider Taxonomy:
(Secondary)
Y
State: NY
Taxonomy Type: Behavioral Health & Social Service Providers
Taxonomy Classification: Counselor
Taxonomy Specialization: Addiction (Substance Use Disorder)
Taxonomy Definition:


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