Individual
MR. GERARD KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
71 W 21ST ST, DEER PARK, NY 11729-3919
(516) 707-9859
Mailing address
71 W 21ST ST, DEER PARK, NY 11729-3919
(516) 707-9859
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
6060
NY
Other
Enumeration date
06/25/2019
Last updated
06/25/2019
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