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Individual

FAY KENDALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10720 NORTHERN BLVD, CORONA, NY 11368-1236
(718) 651-0096
(718) 457-3932
Mailing address
107-20 NORTHERN BLVD, QUEENS, NY 11368
(718) 651-0096
(718) 457-3932

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20257
NY

Other

Enumeration date
05/13/2009
Last updated
05/13/2009
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