DR. KELLY C. HANRETTA D.O. NPI 1295048502

NPI Information

NPI: 1295048502
Provider Name: DR. KELLY C. HANRETTA, D.O.
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

PECOS Registration: Yes

Address:
41 EAST POST ROAD
ATTN: ADMINISTRATION/MEDICAL STAFF OFFICE
WHITE PLAINS, NY
ZIP 10601
Phone: (914) 681-1210
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DR. Kelly C. Hanretta, D.O. is a cardiovascular disease internal medicine in White Plains, NY with 18 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Kelly C. Hanretta, D.O. NPI is 1295048502. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduation Year:2006

The provider's business location address is:

41 EAST POST ROAD
ATTN: ADMINISTRATION/MEDICAL STAFF OFFICE
WHITE PLAINS, NY
ZIP 10601
Phone: (914) 681-1210
Fax: (914) 681-2839

The NPI 1295048502 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/15/2010 and was last updated on 6/15/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		25MB08792600	NEW JERSEY	No
2	207RC0000X	Internal Medicine	Cardiovascular Disease	269430	NEW YORK	No
3	207RC0000X	Internal Medicine	Cardiovascular Disease	67486	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1295048502	OTHER	NEW YORK	NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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