Individual
DR. TATYANA KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU. D., CCC-A
Contact information
Practice address
433 HACKENSACK AVE, SUITE 204, HACKENSACK, NJ 07601-6319
(201) 883-1062
Mailing address
560 WHITE PLAINS ROAD-ENTA, SUITE 615, TARRYTOWN, NY 10591-6802
(201) 883-1062
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
002206
NY
231H00000X
Audiologist
Primary
41YA00095000
NJ
Other
Enumeration date
08/07/2008
Last updated
10/24/2016
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