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NPI Code Detail

MEDICARE: MS. LAURIE A KELLEHER DC

MEDICARE:  MS. LAURIE A KELLEHER  DC
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
1111N00000XChiropractorX010586NY

General Provider Information

NPI Number : 1902832140
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LAURIE A KELLEHER DC
Provider Business Mailing Address
First Line : 342 DOWNING DR
Second Line :
City : YORKTOWN HEIGHTS
State : NY
Zip : 10598-4414
Country : US
Telephone Number : 914-302-2190
Fax Number : 914-302-2191
Provider Business Practice Location Address
First Line : 342 DOWNING DR
Second Line :
City : YORKTOWN HEIGHTS
State : NY
Zip : 10598-4414
Country : US
Telephone Number : 914-302-2190
Fax Number : 914-302-2191
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2006
Last Update Date : 07/08/2007

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Directions to “ MS. LAURIE A KELLEHER DC” Practice Location

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