KELLY DERCOLA, MD
Internal Medicine
Active
Individual
NPI: 1376523688
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Internal Medicine | 207R00000X | Yes | 195587-1 (NY) |
Frequently Asked Questions
NPI 1376523688 is the National Provider Identifier for KELLY DERCOLA, MD, a Internal Medicine provider located in Kingston, NY. This NPI was enumerated on January 20, 2006.
KELLY DERCOLA, MD practices at 368 BROADWAY, Kingston, NY 12401.
Quick Facts
- NPI
- 1376523688
- Type
- Individual
- Enumerated
- Jan 20, 2006
- Last Updated
- Jul 8, 2007
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