Individual
ARTHUR JAY KENNISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
108 E 96TH ST, NEW YORK, NY 10128-6217
(212) 410-6610
(212) 348-0749
Mailing address
108 E 96TH ST, NEW YORK, NY 10128-6217
(212) 410-6610
(212) 348-0749
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
135410
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00747902
—
NY
Enumeration date
01/30/2006
Last updated
06/03/2013
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