Individual
DR. GAVIN KENNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
726 BROADWAY, SUITE 471, NEW YORK, NY 10003-9502
(212) 443-1365
Mailing address
726 BROADWAY, SUITE 471, NEW YORK, NY 10003-9502
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
020162
NY
Other
Enumeration date
07/15/2013
Last updated
07/15/2013
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