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Individual

THOMAS M KILKENNY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
501 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 980-5700
(718) 980-5499
Mailing address
501 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 980-5700
(718) 980-5499

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
189698
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0005438548
AETNA
NY
05
01755302
NY
01
164527
ELDER PLAN
NY
01
189698
HIP
NY
01
189698-B11
HEALTH FIRST
NY
01
2599546
GHI
NY
01
310AQ1
BLUE CROSS
NY
01
4C4195
TOUCHSTONE
NY
01
9801008
CIGNA
NY
01
P601947
OXFORD
NY
Enumeration date
02/23/2006
Last updated
02/05/2014
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