Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelsey Marie Pellicone, PA-C

Individual provider Surgical Physician Assistant · NPI 1760923353

Kelsey Marie Pellicone, PA-C is a Physician Assistant in Cortlandt Manor, New York. Qualified in 2017, 9 years ago. Practices with State of New York Comptrollers Office, a 165-clinician group. Licensed in New York.

Years since qualifying
9
Licensed in
NY
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1978 Crompond Rd
Cortlandt Manor, NY 10567-4111
Phone: (914) 739-2121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 020695 (NY)

Record details

NPI number1760923353
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 15, 2017
Last updated in NPPESOctober 10, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice State Of New York Comptrollers Office — 165 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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