ALICE MARY KELLY-TOBIN NP
NPI 1255394128
Nurse Practitioner - Gerontology in Holbrook, NY

Q: What is Alice Mary Kelly-tobin's NPI number?

The NPI number for Alice Mary Kelly-tobin is 1255394128. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Q: What is Alice Mary Kelly-tobin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Active since April 10, 2006

41 AVENUE A, HOLBROOK, NY 11741(631) 737-6179 Get Directions Write a Review

NPPES record last updated: August 3, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Alice Mary Kelly-tobin Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALICE MARY KELLY-TOBIN NP (NPI 1255394128) is an individual gerontology provider in Holbrook, New York, licensed in New York (F340282-1) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1255394128

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameALICE MARY KELLY-TOBINCredential: NP

Location Address41 AVENUE AHolbrook, NY 11741-2009

Mailing Address41 Avenue AHolbrook, NY 11741-2009 · (631) 737-6179

Phone(631) 737-6179

Sole ProprietorYes

Enumeration DateApril 10, 2006

Last NPPES UpdateAugust 3, 2015

✔ NPI 1255394128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in NY · F340282-1

41 AVENUE A, Holbrook, NY 11741

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alice Mary Kelly-tobin's NPI number?

The NPI number for Alice Mary Kelly-tobin is 1255394128. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Where is Alice Mary Kelly-tobin located?

Alice Mary Kelly-tobin practices at 41 Avenue A, Holbrook, NY 11741. The listed phone number is (631) 737-6179.

What is Alice Mary Kelly-tobin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Alice Mary Kelly-tobin was last updated on August 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.