Individual
DR. JEREMY DOUGLAS KIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
1051 RIVERSIDE DR, NEW YORK, NY 10032-1007
(212) 543-5553
Mailing address
1051 RIVERSIDE DR UNIT 66, NEW YORK, NY 10032-1007
(347) 762-0527
(203) 318-9005
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
275949-1
NY
Other
Enumeration date
04/02/2013
Last updated
07/21/2022
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