MS. JACQUELINE ALLISON KIELTY P.A
NPI 1912122136
Physician Assistant - Medical in Glen Cove, NY

Active since April 14, 2007
104 FOREST AVE, GLEN COVE, NY 11542(516) 759-5406 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Jacqueline Allison Kielty P.a NPPES

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

MS. JACQUELINE ALLISON KIELTY P.A (NPI 1912122136) is an individual medical provider in Glen Cove, New York, licensed in New York (011007) and active in the NPI registry since April 2007.Information from the official NPPES registry record, last updated July 8, 2007.

NPPES Registry Identity

NPI1912122136
Entity TypeIndividualFemale
Provider Legal NameMS. JACQUELINE ALLISON KIELTYCredential: P.A
Location Address104 FOREST AVEGlen Cove, NY 11542-2015
Mailing Address36 Cocks LnLocust Valley, NY 11560-2313 · (516) 801-2571
Sole ProprietorNo
Enumeration DateApril 14, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1912122136 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Physician Assistant · Medical

Taxonomy 363AM0700X · Physician Assistants & Advanced Practice Nursing Providers

Licensed in NY · 011007
104 FOREST AVE, Glen Cove, NY 11542

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Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

General Practice
104 FOREST AVE
GLEN COVE, NY 11542
Family Medicine
104 FOREST AVE
GLEN COVE, NY 11542
Physician Assistant
104 FOREST AVE
GLEN COVE, NY 11542
Internal Medicine
104 FOREST AVE
GLEN COVE, NY 11542
Physician Assistant (Medical)
104 FOREST AVE
GLEN COVE, NY 11542
Clinic/Center (Urgent Care)
104 FOREST AVE
GLEN COVE, NY 11542
Physician Assistant (Medical)
104 FOREST AVE
GLEN COVE, NY 11542
Physician Assistant (Medical)
104 FOREST AVE
GLEN COVE, NY 11542

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912122136, enumerated as an "individual" on April 14, 2007.

The provider is located at 104 FOREST AVE GLEN COVE, NY 11542 and the phone number is (516) 759-5406.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.