MEDICARE: DR. BRITTNEY LYNN KELLY AU.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	231H00000X	Audiologist	003153	NY

General Provider Information

NPI Number	:	1982312823
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRITTNEY LYNN KELLY AU.D.

Provider Business Mailing Address
First Line	:	660 WHITE PLAINS ROAD - ENTA
Second Line	:	FOURTH FLOOR
City	:	TARRYTOWN
State	:	NY
Zip	:	10591-6802
Country	:	US
Telephone Number	:	914-984-2552
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 OLD COUNTRY ROAD
Second Line	:	UNIT 16
City	:	RIVERHEAD
State	:	NY
Zip	:	11901-2148
Country	:	US
Telephone Number	:	631-727-8050
Fax Number	:

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

Provider Enumeration Date	:	11/09/2022
Last Update Date	:	06/10/2025

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