Individual
SEAN KILKENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
490 ROUTE 304, NEW CITY, NY 10956-3040
(845) 507-0477
(845) 507-0490
Mailing address
40 MARK LN, NEW CITY, NY 10956-6733
(845) 598-3652
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
010095-1
NY
Other
Enumeration date
06/01/2017
Last updated
06/01/2017
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