IndividualActive
Alice Mary Kelly-Tobin, NP
NPI 1255394128 · Gerontology Nurse Practitioner · Holbrook, NY
Provider details
- NPI number
- 1255394128
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- License
- F340282-1 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
41 Avenue a
Holbrook, NY 11741-2009
Phone: (631) 737-6179
Approximate (ZIP-level) locationGet directions
Mailing address
41 Avenue a
Holbrook, NY 11741-2009
Registry dates
- Enumerated
- 2006-04-10
- Last updated
- 2015-08-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.