Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Lawrence William Kelly Jr., MD

Individual provider Emergency Medicine Physician · NPI 1073773578

Dr. Lawrence William Kelly Jr., MD is an Emergency Medicine in Stony Brook, New York. Qualified in 2007, 19 years ago. Accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
19
Licensed in
NY
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Partly verified

Some contact details are missing from the federal record.

Stony Brook University Hospital Dept OF Emergency Medicine Hsc L-4 Rm 080
Stony Brook, NY 11794-0001
Phone: (631) 444-3880
Fax: (631) 444-6031
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 257499 (NY)

Record details

NPI number1073773578
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 10, 2008
Last updated in NPPESAugust 4, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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