Dr John Kelly Anesthesia PC

Organization Active NPI Anesthesiology Physician · Glen Head, NY

NPI 1972295293 · NPPES record last updated May 24, 2023

Key facts

NPI
1972295293
Entity type
Organization (NPI type 2)
Primary specialty
Anesthesiology Physician 207L00000X
Legal business name
DR JOHN KELLY ANESTHESIA PC
Practice address
17 Knollwood Rd
Glen Head, NY 11545-3318
Phone
(516) 578-3028
NPI assigned
May 24, 2023
Organization subpart
No

Authorized official

Name
John Kelly, DO
Title
President
Phone
(516) 578-3028

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207L00000X Yes

Addresses

Primary practice location

17 Knollwood Rd
Glen Head, NY 11545-3318

Mailing address

17 Knollwood Rd
Glen Head, NY 11545-3318
Phone (516) 578-3028

Other providers in Glen Head, NY

All providers in Glen Head, NY · Anesthesiology Physician in New York

Sources for this page

Verify at the official NPI Registry.