Individual
JESSICA KENNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1000 MONTAUK HWY, WEST ISLIP, NY 11795-4927
(631) 376-4050
Mailing address
5 LAUREN AVE, DIX HILLS, NY 11746-6631
(917) 364-7684
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
06/09/2017
Last updated
06/09/2017
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