NPI
Kelly Niceley
NPI 1578088662
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Individual
- Enumeration date
- 2017-08-09
- Last updated
- 2017-08-09
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Specialties
Licenses
- License NY
- 0014493-1
Location
- Practice location
- 410 Marcus Garvey Blvd Apt 4
- City
- Brooklyn NY
- Postal code
- 11216-2448
- Phone
- (917) 513-3188
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Brooklyn, NY. 80,424 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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