MEDICARE: DR. PATRICK J KELLY M.D.

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
1	207T00000X	Neurological Surgery Physician	139544	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	134042827	OTHER	CIGNA
2	134042827	OTHER	EMPIRE UNITED
3	NZ1334	OTHER	HEALTHNET
4	134042827	OTHER	UNITED HEALTHCARE
5	2268392	OTHER	AETNA HMO
6	0022378	OTHER	GHI
7	139544	OTHER	HIP
8	134042827	OTHER	1199
9	4353813	OTHER	AETNA PPO

General Provider Information

NPI Number	:	1780695403
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICK J KELLY M.D.

Provider Business Mailing Address
First Line	:	14 SUTTON PL S
Second Line	:	11C
City	:	NEW YORK
State	:	NY
Zip	:	10022-3071
Country	:	US
Telephone Number	:	212-751-7751
Fax Number	:

Provider Business Practice Location Address
First Line	:	14 SUTTON PL S
Second Line	:	11C
City	:	NEW YORK
State	:	NY
Zip	:	10022-3071
Country	:	US
Telephone Number	:	212-751-7751
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2006
Last Update Date	:	04/02/2010

Similar Medicare Providers

1700244944 — NICK FAGER LMHC
Practice Location Address:

225 BROADWAY STE 3009
NEW YORK, NY
10007-3071

Practice Phone: 203-253-6602
Practice Fax:

1437664042 — MEGAN MURPHY LMHC
Practice Location Address:

225 BROADWAY STE 3009
NEW YORK, NY
10007-3071

Practice Phone: 212-655-9817
Practice Fax:

1164910477 — NICHOLAS FAGER LICENSED MENTAL HEALTH COUNSELOR PLLC
Practice Location Address:

225 BROADWAY STE 3009
NEW YORK, NY
10007-3071

Practice Phone: 203-253-6602
Practice Fax:

1700354305 — ABIGAIL L RUTH LCSW
Practice Location Address:

225 BROADWAY STE 3009
NEW YORK, NY
10007-3071

Practice Phone: 212-655-9817
Practice Fax:

1871436212 — ANNIE DORIS WAKEFIELD
Practice Location Address:

8048 SPRING THAW LN
NEW KENT, VA
23124-3071

Practice Phone: 540-351-2040
Practice Fax:

1306492939 — RENEE R. RHEAUME DELEON
Practice Location Address:

224 ROCK SPRINGS DR
NEW BRAUNFELS, TX
78130-3071

Practice Phone: 843-226-9016
Practice Fax:

Directions to “ DR. PATRICK J KELLY M.D.” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.