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Provider Information for 1447775846

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. KELLY ELIZABETH PICCIURRO PT, DPT

Gender: FEMALE

Individual NPI: 1447775846

Calendar   Last Updated:  2017-08-07
  Certification Date: 

Details

Name Value
NPI 1447775846
Enumeration Date 2017-08-07
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 22 ARIE DR
MARLBORO, NJ 07746-2422
United States

Phone: | Fax:
View Map External Link
Primary Practice Address 12 W 37TH ST RM 1201
NEW YORK, NY 10018-7364
United States

Phone: 212-777-4374 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 225100000X - Physical Therapist