MRS. Kelly M Hislop
NPI #1699024174 in Lindenhurst, New York
Provider Information
- NPI Number
- 1699024174
- Entity Type
- Individual
- Name
- MRS. Kelly M Hislop
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist
- Enumeration Date
- Aug 30, 2012
- Last Updated
- Aug 30, 2012
Practice Location
- Address
- 124 48TH ST
- City
- Lindenhurst
- State
- New York
- ZIP Code
- 11757-2017
- Phone
- (516) 353-3240
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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