Individual
EMILY KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
16 ELMIRA AVE, STATEN ISLAND, NY 10314-2311
(917) 584-2103
Mailing address
16 ELMIRA AVE, STATEN ISLAND, NY 10314-2311
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
344075
NY
Other
Enumeration date
05/13/2020
Last updated
05/13/2020
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