Dr. Kelly Jean Eberhardt
MD | Pediatrics | Female
Dr. Kelly Jean Eberhardt, MD is a Staten Island, New York based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Kelly Jean Eberhardt is
1050 Clove Road, Staten Island, New York - 10301-3627. She can be contacted on phone at
718-270-1480 and fax number 718-816-3739.
Dr. Kelly Jean Eberhardt is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Kelly Jean Eberhardt is
1811027998 which was assigned by NPPES on 06 Mar, 2007 and it was last updated on 11 Sep, 2019.
Dr. Kelly Jean Eberhardt license number is
234824 for Pediatrics (208000000X) in New York.
Dr. Kelly Jean Eberhardt is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Kelly Jean Eberhardt basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Kelly Jean Eberhardt |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Dr. Kelly Jean Eberhardt address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1050 Clove Road
Staten Island, NY, 10301-3627
United States |
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| Phone Number : | 718-270-1480 |
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| Fax Number : | 718-816-3739 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1811027998 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 06 Mar, 2007 |
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| Last Updated On : | 11 Sep, 2019 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kelly Jean Eberhardt are as mentioned. Primary taxonomy code for Dr. Kelly Jean Eberhardt, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 234824 | NY |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Kelly Jean Eberhardt such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 02887378 | MEDICAID | NY | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 55 Water St, 2nd Floor Cred Dept
New York, NY, 10041-0004
United States |
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| Phone Number : | 646-680-2888 |
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| Fax Number : | 516-542-5556 |
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Business Location:
Patients can refer following map for directions to
Dr. Kelly Jean Eberhardt practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.