Individual
MRS. CAITLIN BREE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.AC., L.AC
Contact information
Practice address
99 GRAND AVE STE 4, MASSAPEQUA, NY 11758-4908
(516) 884-5215
Mailing address
133 ROOSEVELT AVENUE, MASSAPEQUA PARK, NY 11762
(516) 884-5215
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
005786
NY
Other
Enumeration date
04/25/2017
Last updated
01/29/2025
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