Organization
KATHLEEN E. KEARNEY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN E. KEARNEY MD (AUTHORIZED OFFICIAL)
(718) 728-3400
Entity
Organization
Contact information
Practice address
3127 41ST ST, ASTORIA, NY 11103-3901
(718) 728-3400
Mailing address
PO BOX 21417, NEW YORK, NY 10087-1417
(888) 783-6291
(551) 230-6201
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
174369
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04772345
—
NY
01
—
G100382446
MEDICARE
NY
Enumeration date
02/21/2017
Last updated
03/31/2021
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