Elizabeth Kelly | Brooklyn, NY • PECOS Search

Elizabeth Kelly

Specialist

Other Service Providers

879 72nd St, Brooklyn, NY 11228-1051

PECOS Enrollment

Based on the most recent information from CMS, provider Elizabeth Kelly does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1760743892
Provider Type
Individual
Full Name
Kelly, Elizabeth
Credential
B.A SP ED.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
6/5/2012
Last Updated
6/5/2012

Contact Information

Practice Location

879 72nd St, Brooklyn, NY 11228-1051

Unlisted Fax

Mailing Location

879 72nd St, Brooklyn, NY 11228-1051

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 174400000X Primary	Description Specialist Other Service Providers	License Unlisted Issuer