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KELLY DOLORES DESESA RN, CLT
NPI 1407674369
Registered Nurse - Nurse Massage Therapist (NMT) in Sag Harbor, NY

Active since September 30, 2024
34 BAY ST, SAG HARBOR, NY 11963(631) 988-4717 Get Directions Write a Review

NPPES record last updated: September 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Dolores Desesa Rn, Clt NPPES

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

KELLY DOLORES DESESA RN, CLT (NPI 1407674369) is an individual nurse massage therapist (nmt) provider in Sag Harbor, New York, licensed in New York (557727) and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1407674369
Entity TypeIndividualFemale
Primary Taxonomy163WM1400X
Provider Legal NameKELLY DOLORES DESESACredential: RN, CLT
Location Address34 BAY STSag Harbor, NY 11963-3104
Mailing AddressPo Box 52Sag Harbor, NY 11963-0001 · (631) 988-4717
Phone(631) 988-4717
Sole ProprietorYes
Enumeration DateSeptember 30, 2024
NPPES CertifiedSeptember 30, 2024
✔ NPI 1407674369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered Nurse · Nurse Massage Therapist (NMT)Nursing Service Providers
Taxonomy Code163WM1400X
License✔ Licensed in NY · 557727
Also ListedRegistered NurseTaxonomy 163W00000X · License 557727 (NY)
34 BAY ST, Sag Harbor, NY 11963
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Other Names 1

Former Name (1)Kelly Connolly Rn

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SINEAD FITZGIBBON PT, PHD
Physical Therapist (Orthopedic)
34 BAY ST
SAG HARBOR, NY 11963
Suffolk County (631) 725-4450
VICTOR B. WEISS LMT
Massage Therapist
34 BAY ST
SAG HARBOR, NY 11963
Suffolk County (631) 839-0388
CHARLES HAYNES
Massage Therapist
34 BAY ST
SAG HARBOR, NY 11963
Suffolk County (631) 899-3216
AMY ABDELRAZEQ DPT
Physical Therapist
34 BAY ST
SAG HARBOR, NY 11963
Suffolk County (917) 672-3319
LATITUDE PT NY
Physical Therapist
34 BAY ST
SAG HARBOR, NY 11963
Suffolk County (917) 672-3319
SAG HARBOR SKIN AND AESTHETICS LLC
Dermatology
34 BAY ST
SAG HARBOR, NY 11963
Suffolk County (212) 517-6555

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 Kelly Desesa's NPI number?

The NPI number for Kelly Desesa is 1407674369. It was assigned to this individual provider in the NPPES registry on September 30, 2024. The provider is also known as Kelly Connolly Rn.

Where is Kelly Desesa located?

Kelly Desesa practices at 34 Bay St, Sag Harbor, NY 11963. The listed phone number is (631) 988-4717.

What is Kelly Desesa's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Nurse Massage Therapist (NMT), with taxonomy code 163WM1400X.

When was this NPI record last updated?

The NPPES record for Kelly Desesa was last updated on September 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.