Organization
CORT CHEDWIN KENNEDY MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORT CHEDWIN KENNEDY II MD (OWNER)
(631) 507-2979
Entity
Organization
Contact information
Practice address
229 RAILROAD AVE STE 3, SAYVILLE, NY 11782-2719
(631) 507-2979
Mailing address
364 VANDERBILT BLVD, OAKDALE, NY 11769-2038
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/07/2024
Last updated
12/27/2024
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