Individual
DR. MOIRA J KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5676 RIVERDALE AVE, BRONX, NY 10471-2138
(718) 796-5300
Mailing address
430 E 20TH ST APT 9B, NEW YORK, NY 10009-8205
(917) 783-6971
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
180415
NY
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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