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NPI Code Detail

MEDICARE: KELSEY MCMANUS

MEDICARE: KELSEY MCMANUS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RI0200XInfectious Disease Physician323873NY
2207R00000XInternal Medicine Physician323873NY
3390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1558980623
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELSEY MCMANUS
Provider Business Mailing Address
First Line : 19 BRADHURST AVE STE 3100N
Second Line :
City : HAWTHORNE
State : NY
Zip : 10532-2140
Country : US
Telephone Number : 914-909-9018
Fax Number :
Provider Business Practice Location Address
First Line : 100 WOODS RD
Second Line :
City : VALHALLA
State : NY
Zip : 10595-1530
Country : US
Telephone Number : 914-493-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2020
Last Update Date : 06/03/2026

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Directions to “ KELSEY MCMANUS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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