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General NPI Number Information
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NPI Number | 1346765641
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Entity Type | Individual
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Provider Name | KELLY SHEA MONTELEONE DPT
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Gender | Female
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Dates
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Enumeration Date | 08/08/2017
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 16 E 52ND ST
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City | NEW YORK
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State | NY
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Zip | 10022-5306
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Country | US
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Telephone | 212-752-2400
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Fax | 212-752-8122
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Provider Business Mailing Address
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Address Line | 2142 UTOPIA PKWY
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City | WHITESTONE
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State | NY
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Zip | 11357-4142
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Country | US
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Telephone | 718-819-6805
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Fax | 929-381-1014
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 040937
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License Number State | NY
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