Individual
MRS. CHRISTINA KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
200 OLD COUNTRY RD, SUITE 278, MINEOLA, NY 11501-4235
(516) 877-0977
Mailing address
200 OLD COUNTRY RD, SUITE 278, MINEOLA, NY 11501-4235
(516) 877-0977
(516) 986-3159
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
013014-1
NY
Other
Enumeration date
12/08/2008
Last updated
03/22/2013
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