Individual
BLONDELLE MEADE-KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 SAINT ANDREWS LN, GLEN COVE, NY 11542-2254
(516) 674-7300
Mailing address
101 SAINT ANDREWS LN, GLEN COVE, NY 11542-2254
(516) 674-7300
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
595406-1
NY
363LF0000X
Family Nurse Practitioner
Primary
F350548-01
NY
Other
Enumeration date
06/01/2009
Last updated
07/06/2023
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