Most Relevant Information
Provider Data
| NPI Number: | 1003078650 |
| Provider Name: | DIONNE KELLY |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/25/2008 |
| Last Updated: | 06/13/2013 |
Provider Practice Location
13325 220TH ST
SPRINGFIELD GARDENS
NY
114131636
Practice Location Phone/Fax
| Phone: | 3475639916 |
| Fax: | 7189982156 |
Provider Mailing Location
2020 CONEY ISLAND AVE
SUITE 308
BROOKLYN
NY
112232329
Provider Mailing Phone/Fax
| Phone: | 3475639916 |
| Fax: | 7189982156 |